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LONGS DRUGS OF LEXINGTON
HV45488 Apex Community Care, Inc.
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Covered Entity Details
Entity Name
Apex Community Care, Inc.
Subdivision Name
Torrington/Litchfield County
Type
Ryan White Part C
340B ID
HV45488
Entity Address
601 S. Main Street
Torrington, CT 06790
Grant Number
H76HA45488
Participating Start Date
4/1/2023
Last Recertification Date
2/14/2025
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
1/23/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Roberta Stewart, CEO
(203) 778-2437
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
1/17/2023
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