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LONGS DRUGS OF LEXINGTON
RWII93638 Madera County Department of Public Health
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Covered Entity Details
Entity Name
Madera County Department of Public Health
Subdivision Name
Type
Ryan White Part B
340B ID
RWII93638
Entity Address
1604 Sunrise Avenue
Madera, CA 93638
Madera, CA 93638
Grant Number
X07HA12778
Participating Start Date
1/1/2020
Last Recertification Date
2/19/2025
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
10/18/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sara Bosse, Public Health Director
(559) 675-7893
Contract Pharmacy Representative
Long's Drugs of Lexington
Ashley L. Ellis, Corporate Counsel
(803) 358-3030
Signed By Date
10/18/2022
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