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LONGS DRUGSTORES OF SOUTH CAROLINA
STD29601 AID UPSTATE
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Covered Entity Details
Entity Name
AID UPSTATE
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD29601
Entity Address
811 PENDLETON STREET
SUITES 10 & 11
GREENVILLE, SC 29601
Grant Number
NH25PS005150
Participating Start Date
4/1/2017
Last Recertification Date
5/8/2024
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
1/5/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
B ANDREW HALL, CEO
(864) 250-0607 Ext: 6208
Contract Pharmacy Representative
AVITA Pharmacy
JERRY PURCEL, Executive VP
(504) 905-4587
Signed By Date
1/5/2018
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