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LONGS DRUGS OF LEXINGTON
STD19123 Bebashi - Transition to Hope
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Covered Entity Details
Entity Name
Bebashi - Transition to Hope
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD19123
Entity Address
1235 Spring Garden Street
Philadelphia, PA 19123
Grant Number
6 NU62PS924728-03-04
Participating Start Date
1/1/2016
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
1/11/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sebrina Tate, Director of Programs and Administration
(215) 769-3561 Ext: 2157693561
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
1/11/2023
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