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LONGS DRUGS OF LEXINGTON
STD286021 AIDS Leadership Foothills-area Alliance
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Covered Entity Details
Entity Name
AIDS Leadership Foothills-area Alliance
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD286021
Entity Address
1120 Fairgrove Church Rd
Suite 28
Hickory, NC 28602
Grant Number
NH25PS005152-05-00
Participating Start Date
4/1/2018
Last Recertification Date
5/11/2024
Entity Termination Date
7/1/2025
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
4/16/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Christina Kliesch, CEO
(828) 237-1577
Contract Pharmacy Representative
AVITA Pharmacy
JERRY PURCEL, Executive VP
(504) 905-4587
Signed By Date
4/16/2018
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