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LONGS DRUGS OF LEXINGTON
RWII36830 East Alabama Health Services DBA Unity Wellness Center
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Covered Entity Details
Entity Name
East Alabama Health Services DBA Unity Wellness Center
Subdivision Name
Type
Ryan White Part B
340B ID
RWII36830
Entity Address
122 North 20th Street
Building 26
Opelika, AL 36801
Grant Number
X07HA00049
Participating Start Date
10/1/2011
Last Recertification Date
2/10/2025
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
7/5/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/22/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
SAM PRICE, CFO
(334) 528-1313
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
7/5/2022
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