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LONGS DRUGSTORES OF SOUTH CAROLINA
FQHCLA486 UNITY HEALTH ON MAIN
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Covered Entity Details
Entity Name
UNITY HEALTH ON MAIN
Subdivision Name
Unity Health On Main
Type
Health Center Program Look-Alike
340B ID
FQHCLA486
Entity Address
505 N Main St, Ste C
Greenville, SC 29601-2019
Grant Number
LALCS52974
Participating Start Date
7/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
LONGS DRUGSTORES OF SOUTH CAROLINA
Pharmacy Address
D/B/A AVITA PHARMACY 1055
811 PENDLETON ST
STE 10
GREENVILLE, SC 29601-3232
Pharmacy Comments
Contract Details
Approval Date
4/4/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Norma Jean Suarez, Executive Director
(864) 982-8729
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
4/2/2025
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