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LONGS DRUGS OF LEXINGTON
STD94114 San Francisco AIDS Foundation
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Covered Entity Details
Entity Name
San Francisco AIDS Foundation
Subdivision Name
Strut - Sexual Health Services
Type
Sexually Transmitted Diseases
340B ID
STD94114
Entity Address
470 Castro Street
San Francisco, CA 94114
Grant Number
NU62PS924674
Participating Start Date
10/1/2011
Last Recertification Date
5/29/2025
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
10/13/2022
Contract Begin Date
10/21/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Chris Damon, Controller
(415) 487-3043
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
10/13/2022
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