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LONGS DRUGS OF LEXINGTON
HV358011 AIDS ACTION COALITION/DAVIS CLINIC
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Covered Entity Details
Entity Name
AIDS ACTION COALITION/DAVIS CLINIC
Subdivision Name
Type
Ryan White Part C
340B ID
HV358011
Entity Address
600 ST CLAIR BLDG 3
HUNTSVILLE, AL 35801
Grant Number
H76HA00624
Participating Start Date
4/1/2001
Last Recertification Date
1/30/2019
Entity Termination Date
4/1/2020
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
7/10/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Mary Elizabeth Marr, CEO
(256) 337-8283
Contract Pharmacy Representative
AVITA Pharmacy
JERRY PURCEL, Executive VP
(504) 905-4587
Signed By Date
7/10/2019
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