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LONGS DRUGS OF LEXINGTON
STD61265 The Project of the Quad Cities
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Covered Entity Details
Entity Name
The Project of the Quad Cities
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD61265
Entity Address
4101 John Deere Road
Suite 3
Moline, IL 61265
Grant Number
6 NU62PS003681-05-01
Participating Start Date
1/1/2017
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
7/18/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Caitlin Brady Wells, Chief Executive Officer
(309) 581-2030
Contract Pharmacy Representative
PMQ Group, LLC dba Avita
Chris Creamer, SVP
(469) 592-2000
Signed By Date
7/18/2024
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