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LONGS DRUGS OF LEXINGTON
HV00720 Clarke County Board of Health
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Covered Entity Details
Entity Name
Clarke County Board of Health
Subdivision Name
Specialty Care Clinic
Type
Ryan White Part C
340B ID
HV00720
Entity Address
700 Sunset Dr Suite 501
Athens, GA 30606-2288
Grant Number
H76HA00720
Participating Start Date
7/1/2014
Last Recertification Date
2/10/2025
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
7/15/2021
Contract Begin Date
7/16/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kim McGinnis, Billing Operations Manager
(706) 583-2856
Contract Pharmacy Representative
AVITA Pharmacy
JERRY PURCEL, Executive VP
(504) 905-4587
Signed By Date
7/15/2021
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