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LONGS DRUGS OF LEXINGTON
RWI70112 THE ADMINISTRATORS OF THE TULANE EDUCATIONAL FUND
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Covered Entity Details
Entity Name
THE ADMINISTRATORS OF THE TULANE EDUCATIONAL FUND
Subdivision Name
TULANE TOTAL HEALTH CLINIC
Type
Ryan White Part A
340B ID
RWI70112
Entity Address
711 North Broad Street
New Orleans, LA 70119
Grant Number
H89HA00035
Participating Start Date
7/1/2018
Last Recertification Date
2/12/2025
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
1/12/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
KATHLEEN M. KOZAR, Director, Sponsored projects Administration
(504) 988-5207
Contract Pharmacy Representative
AVITA Pharmacy
JERRY PURCEL, Executive VP
(504) 905-4587
Signed By Date
1/12/2022
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