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LONGS DRUGS OF LEXINGTON
STD73116 Equality Health Group Foundation
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Covered Entity Details
Entity Name
Equality Health Group Foundation
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD73116
Entity Address
8 SW 89th St.
STE 200
Oklahoma City, OK 73139
Grant Number
NH25PS005143
Participating Start Date
9/14/2020
Last Recertification Date
5/5/2025
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
2/25/2021
Contract Begin Date
2/26/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Cody Turpin, President
(405) 420-7328
Contract Pharmacy Representative
Long's Drugs
Ashley Ellis, Corporate Counsel
(803) 254-5884 Ext: 42309
Signed By Date
2/25/2021
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