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LONGS DRUGS OF LEXINGTON
STD49008 Community AIDS Resource & Education Svcs of SW MI
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Covered Entity Details
Entity Name
Community AIDS Resource & Education Svcs of SW MI
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD49008
Entity Address
629 Pioneer Street
Kalamazoo, MI 49008-1801
Grant Number
NH25PS005170
Participating Start Date
4/23/2020
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
1/14/2021
Contract Begin Date
2/8/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kelly A. Doyle, CEO
(269) 806-3970
Contract Pharmacy Representative
AVITA Pharmacy
JERRY PURCEL, Executive VP
(504) 905-4587
Signed By Date
1/14/2021
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