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LONGS DRUGS OF LEXINGTON
STD282021 RAIN, Inc.
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Covered Entity Details
Entity Name
RAIN, Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD282021
Entity Address
601 E Fifth St
470
Charlotte, NC 28202
Grant Number
NU65PS923754
Participating Start Date
7/1/2022
Last Recertification Date
5/14/2025
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
5/9/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Chelsea Alyssa Gulden, President & CEO
(704) 973-9811
Contract Pharmacy Representative
AVITA Pharmacy
JERRY PURCEL, Executive VP
(504) 905-4587
Signed By Date
4/8/2022
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