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LONGS DRUGS OF CHARLESTON
HV00657A Roper St. Francis Healthcare
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Covered Entity Details
Entity Name
Roper St. Francis Healthcare
Subdivision Name
Roper St. Francis Health Services Center
Type
Ryan White Part C
340B ID
HV00657A
Entity Address
730 Stoney Landing Rd
Ste 104
Moncks Corner, SC 29461
Grant Number
H76HA31742
Participating Start Date
7/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
LONGS DRUGS OF CHARLESTON
Pharmacy Address
DBA AVITA PHARMACY 1052
1481 TOBIAS GADSON BLVD STE 2D
CHARLESTON, SC 29407
Pharmacy Comments
Contract Details
Approval Date
4/8/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tawana Faye Philpott Brown, Program Director
(843) 402-1981
Contract Pharmacy Representative
Avita Pharmacy
Trista Ciotola, District Manager
(570) 956-6404
Signed By Date
4/8/2025
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