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LONGS DRUGS OF LEXINGTON
STD93454 PLANNED PARENTHOOD CALIFORNIA CENTRAL COAST
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Covered Entity Details
Entity Name
PLANNED PARENTHOOD CALIFORNIA CENTRAL COAST
Subdivision Name
SANTA MARIA CLINIC
Type
Sexually Transmitted Diseases
340B ID
STD93454
Entity Address
501 East Chapel Street
Santa Maria, CA 93454
Grant Number
1H25PS005127
Participating Start Date
1/1/2016
Last Recertification Date
5/7/2025
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
4/15/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jenna Tosh, President & CEO
(805) 722-1505
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
4/15/2025
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