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LONGS DRUGS OF LEXINGTON
STD35404 West Alabama Women's Center Inc.
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Covered Entity Details
Entity Name
West Alabama Women's Center Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD35404
Entity Address
535 Jack Warner Pkwy NE
Suite I
Tuscaloosa, AL 35404
Grant Number
NH25PS005129-03-00
Participating Start Date
10/1/2023
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
10/7/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Robin Marty, Director of Operations
(205) 556-2026
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
10/7/2024
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