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LONGS DRUGS OF LEXINGTON
STD39202 Magnolia Medical Foundation
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Covered Entity Details
Entity Name
Magnolia Medical Foundation
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD39202
Entity Address
256 East Fortification St.
Jackson, MS 39202
Grant Number
6NU62PS924746-02-01
Participating Start Date
2/22/2023
Last Recertification Date
6/2/2025
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
10/18/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Erica Thompson, Executive Director
(769) 524-8002 Ext: 1003
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
10/18/2024
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