340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
LONGS DRUGSTORES OF SC INC
RWII29405 Lowcountry AIDS Services
Print
Covered Entity Details
Entity Name
Lowcountry AIDS Services
Subdivision Name
Type
Ryan White Part B
340B ID
RWII29405
Entity Address
5064 Rivers Ave
North Charleston, SC 29406
Grant Number
X07HA00038
Participating Start Date
4/1/2013
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
LONGS DRUGSTORES OF SC INC
Pharmacy Address
D/B/A AVITA PHARMACY 1054
455 LAKESHORE PKWY
ROCK HILL, SC 29730-4205
Pharmacy Comments
Contract Details
Approval Date
4/16/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Roshan McDaniel, SC ADAP Director
(803) 898-0703
Contract Pharmacy Representative
AVITA Pharmacy
JERRY PURCEL, Executive VP
(504) 905-4587
Signed By Date
4/16/2018
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