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LONGS DRUGS OF LEXINGTON
RWI19027 Bebashi-Transition to Hope
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Covered Entity Details
Entity Name
Bebashi-Transition to Hope
Subdivision Name
Type
Ryan White Part A
340B ID
RWI19027
Entity Address
1235 Spring Garden Street
1st Floor
Philadelphia, PA 19123
Grant Number
H89HA00013
Participating Start Date
7/1/2013
Last Recertification Date
2/24/2025
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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