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LONGS DRUGS OF LEXINGTON
STD061141 Latino Community Services, Inc.
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Covered Entity Details
Entity Name
Latino Community Services, Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD061141
Entity Address
28 Grand Street 2nd FL
Hartford, CT 06106
Grant Number
1NH25PS005155 01
Participating Start Date
7/1/2017
Last Recertification Date
5/6/2024
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
4/10/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Madeline Rodriguez, Executive Director
(860) 296-6400 Ext: 238
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
4/10/2024
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