340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
LONGS DRUGS OF LEXINGTON
HV01708B NORTHWEST GEORGIA HEALTH DISTRICT SPECIALTY CARE CLINIC
Print
Covered Entity Details
Entity Name
NORTHWEST GEORGIA HEALTH DISTRICT SPECIALTY CARE CLINIC
Subdivision Name
Type
Ryan White Part C
340B ID
HV01708B
Entity Address
16 EAST 12TH STREET
SUITE 202
ROME, GA 30161
Grant Number
H76HA00806
Participating Start Date
7/1/2020
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
LONGS DRUGS OF LEXINGTON
Pharmacy Address
D/B/A AVITA PHARMACY 1051
1216 W MAIN ST
STE D
LEXINGTON, SC 29072-2453
Pharmacy Comments
Contract Details
Approval Date
1/5/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Cheryl Bandy, Nursing and Clinical Director
(706) 802-5219
Contract Pharmacy Representative
Avita Drugs
Nick Kersey, Pharmacy Account Executive
(754) 213-6176
Signed By Date
1/5/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session