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LONGS DRUGS OF LEXINGTON
STD19971 CAMP Rehoboth,Inc
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Covered Entity Details
Entity Name
CAMP Rehoboth,Inc
Subdivision Name
CAMP Rehoboth, Inc
Type
Sexually Transmitted Diseases
340B ID
STD19971
Entity Address
37 Baltimore Ave
Rehoboth Beach, DE 19971
Grant Number
NH25PS005156
Participating Start Date
4/1/2025
Last Recertification Date
5/29/2025
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
1/29/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kim Leisey, Executive Director
(302) 227-5620
Contract Pharmacy Representative
PMQ Group, LLC dba Avita
Chris Creamer, SVP
(469) 592-2000
Signed By Date
1/14/2025
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