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LONGS DRUGS OF LEXINGTON
RWI10018 Gay Men's Health Crisis Inc.
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Covered Entity Details
Entity Name
Gay Men's Health Crisis Inc.
Subdivision Name
Type
Ryan White Part A
340B ID
RWI10018
Entity Address
307 West 38th street
4th Floor
New York, NY 10018
Grant Number
6 H89HA00015-32-04
Participating Start Date
10/1/2024
Last Recertification Date
2/20/2025
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
8/6/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kishani C Moreno, Interim CEO and COO
(212) 367-1492
Contract Pharmacy Representative
PMQ Group, LLC dba Avita
Chris Creamer, SVP
(469) 592-2000
Signed By Date
7/15/2024
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