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LONGS DRUGS OF LEXINGTON
STD63115 Williams & Associates INC
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Covered Entity Details
Entity Name
Williams & Associates INC
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD63115
Entity Address
3737 N. Kingshighway Blvd
Suite 204-206
St. Louis, MO 63115
Grant Number
NH25PS005142-03-01
Participating Start Date
1/1/2020
Last Recertification Date
5/6/2025
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
11/15/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Erise Williams, President/CEO
(314) 385-1935 Ext: 3143851935
Contract Pharmacy Representative
AVITA Pharmacy
JERRY PURCEL, Executive VP
(504) 905-4587
Signed By Date
10/1/2019
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