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LONGS DRUGS OF LEXINGTON
STD482011 WSU Detroit Public Health STD Clinic
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Covered Entity Details
Entity Name
WSU Detroit Public Health STD Clinic
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD482011
Entity Address
50 E. CANFIELD
DETROIT, MI 48201
Grant Number
NH25PS005170
Participating Start Date
10/1/2018
Last Recertification Date
5/29/2025
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
1/11/2022
Contract Begin Date
1/18/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tom Dunn, DHSP Operations Section Manager
(517) 335-7203
Contract Pharmacy Representative
Avita Drugs Tennessee, LLC
William Rainer, Account Executive
(205) 335-7685
Signed By Date
1/11/2022
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