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LONGS DRUGS OF LEXINGTON
STD30648 OGLETHORPE COUNTY HEALTH DEPARTMENT
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Covered Entity Details
Entity Name
OGLETHORPE COUNTY HEALTH DEPARTMENT
Subdivision Name
DISTRICT 10
Type
Sexually Transmitted Diseases
340B ID
STD30648
Entity Address
305 UNION POINT RD
LEXINGTON, GA 30648
Grant Number
NH25PS005184
Participating Start Date
1/1/2000
Last Recertification Date
5/6/2025
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
10/15/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Latasha Terry, STD Director
(678) 644-5464
Contract Pharmacy Representative
AVITA Pharmacy
JERRY PURCEL, Executive VP
(504) 905-4587
Signed By Date
10/15/2020
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