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LONGS DRUGS OF LEXINGTON
RWII29425B Medical University of SC Infectious Disease Ryan White Program
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Covered Entity Details
Entity Name
Medical University of SC Infectious Disease Ryan White Program
Subdivision Name
MUSC Ryan White Program
Type
Ryan White Part B
340B ID
RWII29425B
Entity Address
2250 Mall Dr
North Charleston, SC 29406
Grant Number
X07HA00038
Participating Start Date
10/1/2022
Last Recertification Date
2/11/2025
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
7/26/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Richard Lynn Anderson, Executive Vice President for Finance and Operations
(843) 792-5050
Contract Pharmacy Representative
Avita Pharmacy
Daniel Long, District Pharmacy Manager
(803) 358-3030
Signed By Date
7/14/2022
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