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LONGS DRUGS OF LEXINGTON
STD331361 University of Miami AIDS Clinical Reserach Unit
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Covered Entity Details
Entity Name
University of Miami AIDS Clinical Reserach Unit
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD331361
Entity Address
1800 NW 10th Avenue
Miami, FL 33136-1018
Grant Number
5H25PS004342
Participating Start Date
7/1/2018
Last Recertification Date
5/1/2020
Entity Termination Date
7/1/2021
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
1/15/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Margaret A. Fischl, Professor of Medicine, Director UM AIDS Clinical Research Unit
(305) 243-3847
Contract Pharmacy Representative
AVITA Pharmacy
JERRY PURCEL, Executive VP
(504) 905-4587
Signed By Date
1/15/2020
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