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LONGS DRUGS OF LEXINGTON
STD331271 New Horizons Community Mental Health Center, Inc.
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Covered Entity Details
Entity Name
New Horizons Community Mental Health Center, Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD331271
Entity Address
43-45 NW 41st Street
Miami, FL 33127
Grant Number
5NU62PS924532-02
Participating Start Date
1/1/2020
Last Recertification Date
5/16/2022
Entity Termination Date
7/1/2023
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
11/30/2021
Contract Begin Date
11/30/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Jerry Rodriguez, Chief of Operations
(305) 506-5219
Contract Pharmacy Representative
Avita Drugs
JERRY PURCELL, EVP
(504) 905-4587
Signed By Date
11/30/2021
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