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LONGS DRUGS OF LEXINGTON
STD97214 Cascade AIDS Project
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Covered Entity Details
Entity Name
Cascade AIDS Project
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD97214
Entity Address
2236 SE Belmont Street
Portland, OR 97214
Grant Number
NU62PS924543
Participating Start Date
7/1/2017
Last Recertification Date
5/5/2025
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
10/14/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tyler A. TerMeer, Executive Director
(503) 278-3810
Contract Pharmacy Representative
AVITA Pharmacy
JERRY PURCEL, Executive VP
(504) 905-4587
Signed By Date
10/14/2019
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