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LONGS DRUGS OF LEXINGTON
FQHCLA354D ASPIRE INDIANA HEALTH INC
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Covered Entity Details
Entity Name
ASPIRE INDIANA HEALTH INC
Subdivision Name
Aspire Indiana Health - Hoak
Type
Health Center Program Look-Alike
340B ID
FQHCLA354D
Entity Address
2009 Brown St
Anderson, IN 46016-4216
Grant Number
LALCS31260
Participating Start Date
1/1/2018
Last Recertification Date
3/4/2025
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
11/13/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/1/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jerry Landers, VP, Strategy & Business Development
(317) 587-0508
Contract Pharmacy Representative
Long's Drugs
Ashley Ellis, Corporate Counsel
(803) 254-5884 Ext: 42309
Signed By Date
10/18/2017
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