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LONGS DRUGS OF LEXINGTON
STD28216 Quality Home Care Services
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Covered Entity Details
Entity Name
Quality Home Care Services
Subdivision Name
DBA: Quality Comprehensive Health Center
Type
Sexually Transmitted Diseases
340B ID
STD28216
Entity Address
3607 Beatties Ford Road
Charlotte, NC 28216
Grant Number
6 NU62PS924655
Participating Start Date
7/1/2018
Last Recertification Date
5/12/2025
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
4/26/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lisa Wigfall, CEO
(980) 721-1573
Contract Pharmacy Representative
AVITA Pharmacy
JERRY PURCEL, Executive VP
(504) 905-4587
Signed By Date
4/26/2022
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