340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
LONG'S KILBOURNE ROAD PHARMACY
CHC08240-00 HopeHealth, Inc.
Print
Covered Entity Details
Entity Name
HopeHealth, Inc.
Subdivision Name
HopeHealth Irby Street
Type
HRSA-Funded Health Center
340B ID
CHC08240-00
Entity Address
360 N Irby ST
Florence, SC 29501
Grant Number
H80CS08240
Participating Start Date
4/1/2013
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
LONG'S KILBOURNE ROAD PHARMACY
Pharmacy Address
D/B/A AVITA PHARMACY 1053
630 KILBOURNE RD
COLUMBIA, SC 29205-2827
Pharmacy Comments
Contract Details
Approval Date
10/16/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2021
Pharmacy closed
Contacts
Covered Entity Signing Official
Carl Humphries, CEO
(843) 667-9414 Ext: 1500
Contract Pharmacy Representative
Long's Drugs
Christi Epps, PharmD
(404) 270-9242
Signed By Date
10/16/2017
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