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LONGS DRUGS OF LEXINGTON
STD50401 North Iowa Community Action Organization
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Covered Entity Details
Entity Name
North Iowa Community Action Organization
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD50401
Entity Address
100 1st Street NW
Suite 200
Mason City, IA 50401
Grant Number
NH25PS005158
Participating Start Date
7/1/2014
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
7/8/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lisa Koppin, Health Services Coordinator
(641) 423-5044 Ext: 0317
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
7/8/2021
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