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LONGS DRUGS OF LEXINGTON
HV00793 CATAWBA VALLEY MEDICAL CENTER
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Covered Entity Details
Entity Name
CATAWBA VALLEY MEDICAL CENTER
Subdivision Name
FAIRGROVE PRIMARY HEALTH
Type
Ryan White Part C
340B ID
HV00793
Entity Address
3412 GRAYSTONE PLACE
SUITE A
CONOVER, NC 28613
Grant Number
H76HA00793
Participating Start Date
7/1/2011
Last Recertification Date
2/13/2025
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
4/11/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DAVID BOONE, CFO
(828) 326-3808
Contract Pharmacy Representative
Avita Pharmacy
JERRY PURCELL, CEO/PRESIDENT
(504) 905-4587
Signed By Date
4/11/2017
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