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LONGS DRUGS OF LEXINGTON
STD033012 Equality Health Center
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Covered Entity Details
Entity Name
Equality Health Center
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD033012
Entity Address
38 S MAIN ST
Concord, NH 03301
Grant Number
6 NH25PS005159-04-02
Participating Start Date
7/1/2019
Last Recertification Date
5/6/2025
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
10/4/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jinelle M Hobson, Executive Director
(603) 225-2739
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
10/4/2023
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