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LONGS DRUGS OF LEXINGTON
STD292033 Prisma Health Medical Group – Midlands
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Covered Entity Details
Entity Name
Prisma Health Medical Group – Midlands
Subdivision Name
Division of Infectious Diseases
Type
Sexually Transmitted Diseases
340B ID
STD292033
Entity Address
1 Richland Medical Park
Suite 420
Columbia, SC 29203-6833
Grant Number
6 NH25PS005150-05-08
Participating Start Date
10/1/2018
Last Recertification Date
5/7/2025
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
4/15/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Bernard Gilliard, Program Manager - DIS and Partner Services
(803) 898-0452
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
4/15/2022
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