340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
LONGS DRUGS OF LEXINGTON
RWI92501 Young Scholars For Academic Empowerment, DBA TruEvolution
Print
Covered Entity Details
Entity Name
Young Scholars For Academic Empowerment, DBA TruEvolution
Subdivision Name
Type
Ryan White Part A
340B ID
RWI92501
Entity Address
3839 Brockton Avenue
Riverside, CA 92501
Grant Number
H89HA00032-30-02
Participating Start Date
1/1/2024
Last Recertification Date
2/12/2025
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
12/15/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Gabriel Maldonado, CEO
(951) 888-1346
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
10/12/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session