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LONGS DRUGS OF LEXINGTON
STD72205 Engaging Arkansas Communities
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Covered Entity Details
Entity Name
Engaging Arkansas Communities
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD72205
Entity Address
6917 Geyer Springs
Suite 5N
Little Rock, AR 72209
Grant Number
5NH25PS005132-03-00
Participating Start Date
12/22/2022
Last Recertification Date
5/7/2025
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
11/29/2022
Contract Begin Date
12/22/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Eric Danny Harris, Executive Director
(501) 406-5551
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
10/14/2022
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