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LONGS DRUGS OF LEXINGTON
STD01702 Justice Resource Institute
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Covered Entity Details
Entity Name
Justice Resource Institute
Subdivision Name
JRI Health
Type
Sexually Transmitted Diseases
340B ID
STD01702
Entity Address
1 Grant St.
Program RISE
100
Framingham, MA 01702
Grant Number
5 NH25PS004332-05-00
Participating Start Date
1/1/2020
Last Recertification Date
5/8/2025
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
7/11/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Shawnese Givens, Executive Director, JRI Health
(508) 935-2960
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
7/11/2024
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