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LONGS DRUGS OF LEXINGTON
STD554081 University of Minnesota Youth and AIDS Projects
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Covered Entity Details
Entity Name
University of Minnesota Youth and AIDS Projects
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD554081
Entity Address
2929 4th ave south
203
Minneapolis, MN 55408
Grant Number
NH25PS005172
Participating Start Date
1/1/2022
Last Recertification Date
5/31/2024
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
7/17/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Valerie rubin Rubin-RaShaad, Executive Director
(651) 231-4849
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
7/17/2023
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