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LONGS DRUGS OF LEXINGTON
STD93033 PLANNED PARENTHOOD CALIFORNIA CENTRAL COAST
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Covered Entity Details
Entity Name
PLANNED PARENTHOOD CALIFORNIA CENTRAL COAST
Subdivision Name
Oxnard Clinc
Type
Sexually Transmitted Diseases
340B ID
STD93033
Entity Address
2651 South C Street
Suite 100
Oxnard, CA 93033
Grant Number
1H25PS005127
Participating Start Date
7/1/2021
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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