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LONGS DRUGS OF LEXINGTON SC INC
CH051741J SHALOM HEALTH CARE CENTER, INC.
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Covered Entity Details
Entity Name
SHALOM HEALTH CARE CENTER, INC.
Subdivision Name
Shalom 56th Street - New Access Point
Type
HRSA-Funded Health Center
340B ID
CH051741J
Entity Address
5750 West 56th Street
Indianapolis, IN 46254-1695
Grant Number
H80CS00880
Participating Start Date
7/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
LONGS DRUGS OF LEXINGTON SC INC
Pharmacy Address
1216 WEST MAIN ST
LEXINGTON, SC 29072
Pharmacy Comments
Contract Details
Approval Date
10/16/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/15/2025
Duplicate contract pharmacy record
Contacts
Covered Entity Signing Official
Leonardo R. Ortega, Executive Director/CEO
(317) 291-7422 Ext: 1105
Contract Pharmacy Representative
Long's Drugs
Ashley Ellis, Corporate Counsel
(803) 254-5884 Ext: 42309
Signed By Date
10/16/2017
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