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LONGS DRUGS OF LEXINGTON
STD33054 Community Life Support
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Covered Entity Details
Entity Name
Community Life Support
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD33054
Entity Address
486-490 Fisherman Street,
Opalocka, FL 33054
Grant Number
NH25PS004342-04-01
Participating Start Date
1/1/2020
Last Recertification Date
5/9/2025
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
4/13/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
PIERRE R. BLEMUR, M.D.
(305) 688-5456
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
4/13/2022
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