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LONGS DRUGS OF LEXINGTON
STD443021 Akron AIDS Collaborative
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Covered Entity Details
Entity Name
Akron AIDS Collaborative
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD443021
Entity Address
652 West Exchange
Akron, OH 44302
Grant Number
NU62PS924541-05
Participating Start Date
7/1/2024
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
10/2/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Steve Stanford Arrington, Executive Director
(330) 431-0677
Contract Pharmacy Representative
PMQ Group, LLC dba Avita
Chris Creamer, SVP
(469) 592-2000
Signed By Date
10/2/2024
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