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LONGS DRUGS OF LEXINGTON
STD199471 THURMAN ADAMS STATE SERVICE CENTER
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Covered Entity Details
Entity Name
THURMAN ADAMS STATE SERVICE CENTER
Subdivision Name
Adams SSC
Type
Sexually Transmitted Diseases
340B ID
STD199471
Entity Address
546 S. BEDFORD STREET
GEORGETOWN, DE 19947
Grant Number
NH25PS005156
Participating Start Date
1/1/2000
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
10/11/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Attillio J Zarrella, Administrator, STI Program
(302) 744-1063
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
10/11/2023
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