340B Drug Pricing Program Database

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LONGS DRUGSTORES OF SOUTH CAROLINA
STD29621 AID UPSTATE

Covered Entity Details

Sexually Transmitted Diseases
STD29621
118 MONTGOMERY DRIVE
ANDERSON, SC 29621
NH25PS005150
4/1/2017
5/15/2025


Pharmacy Details

D/B/A AVITA PHARMACY 1055
811 PENDLETON ST
STE 10
GREENVILLE, SC 29601-3232

Contract Details

4/3/2018
7/1/2018


Contacts


B ANDREW HALL, CEO
(864) 250-0607 Ext: 6208



AVITA Pharmacy
JERRY PURCEL, Executive VP
(504) 905-4587
4/3/2018