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LONGS DRUGS OF LEXINGTON
STD347418 Access Health Plus, Inc
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Covered Entity Details
Entity Name
Access Health Plus, Inc
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD347418
Entity Address
207 Park Place Blvd
Suite 4
Kissimmee, FL 34741
Grant Number
NH25PS005131
Participating Start Date
10/12/2022
Last Recertification Date
5/5/2025
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
10/14/2022
Contract Begin Date
11/16/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Juan Rodriguez, Director of 340B Operations
(407) 670-9557
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
10/14/2022
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