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LONGS DRUGSTORES OF SC INC
CHC28972-06 AFFINITY HEALTH CENTER
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Covered Entity Details
Entity Name
AFFINITY HEALTH CENTER
Subdivision Name
Affinity Health Center- Belleview School
Type
HRSA-Funded Health Center
340B ID
CHC28972-06
Entity Address
501 Belleview Rd
Rock Hill, SC 29730-4806
Grant Number
H80CS28972
Participating Start Date
4/1/2024
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
LONGS DRUGSTORES OF SC INC
Pharmacy Address
D/B/A AVITA PHARMACY 1054
455 LAKESHORE PKWY
ROCK HILL, SC 29730-4205
Pharmacy Comments
Contract Details
Approval Date
4/1/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Heather McCutcheon, Interim CEO
(803) 909-9720
Contract Pharmacy Representative
Avita
Keith Fox, Senior VP National Accounts
(225) 315-8186
Signed By Date
4/1/2025
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