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LONGS DRUGS OF LEXINGTON
STD27604 Alliance of AIDS Services-Carolina
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Covered Entity Details
Entity Name
Alliance of AIDS Services-Carolina
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD27604
Entity Address
3109 Poplarwood Ct.
200
Raleigh, NC 27604
Grant Number
6NH25PS005152-05-07
Participating Start Date
10/1/2018
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
4/2/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tiffany Hickman, Executive Director
(919) 834-2734
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
4/2/2025
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