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LONGS DRUGS OF LEXINGTON
STD330603 SOUTH FLORIDA CARE CENTER INC
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Covered Entity Details
Entity Name
SOUTH FLORIDA CARE CENTER INC
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD330603
Entity Address
1600 E Atlantic Blvd
1st Floor
B
POMPANO BEACH, FL 33060-4968
Grant Number
NH25PS005131
Participating Start Date
7/1/2020
Last Recertification Date
5/21/2025
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
8/31/2021
Contract Begin Date
9/2/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Katia Lapointe, President
(954) 366-5131 Ext: 1
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
8/31/2021
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