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LONGS DRUGS OF LEXINGTON
STD466015 AIDS Ministries/AIDS Assist
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Covered Entity Details
Entity Name
AIDS Ministries/AIDS Assist
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD466015
Entity Address
201 S William St
South Bend, IN 46601
Grant Number
NH25PS005139
Participating Start Date
1/1/2019
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
10/8/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Leeah Hopper, Executive Director
(574) 234-2870
Contract Pharmacy Representative
PMQ Group, LLC dba Avita
Chris Creamer, SVP
(469) 592-2000
Signed By Date
10/8/2024
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