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LONGS DRUGS OF LEXINGTON
RWII46201 Damien Cares
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Covered Entity Details
Entity Name
Damien Cares
Subdivision Name
Type
Ryan White Part B
340B ID
RWII46201
Entity Address
26 N Arsenal Ave
Indianapolis, IN 46201
Grant Number
X07HA00033
Participating Start Date
10/1/2020
Last Recertification Date
2/9/2023
Entity Termination Date
4/1/2024
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
8/13/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/6/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Alan Witchey, President and CEO
(317) 632-0123 Ext: 266
Contract Pharmacy Representative
AVITA Pharmacy
JERRY PURCEL, Executive VP
(504) 905-4587
Signed By Date
8/10/2020
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