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LONGS DRUGS OF LEXINGTON
CHC28966-01 KANSAS CITY CARE CLINIC
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Covered Entity Details
Entity Name
KANSAS CITY CARE CLINIC
Subdivision Name
KC CARE Clinic - Broadway
Type
HRSA-Funded Health Center
340B ID
CHC28966-01
Entity Address
3515 BROADWAY BLVD
KANSAS CITY, MO 64111-2537
Grant Number
H80CS28966
Participating Start Date
1/1/2016
Last Recertification Date
3/5/2025
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
7/20/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/1/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
George A Barreto, Chief Finance Officer
(816) 777-2766
Contract Pharmacy Representative
AVITA Pharmacy
JERRY PURCEL, Executive VP
(504) 905-4587
Signed By Date
7/20/2019
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