340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
LONGS DRUGS OF LEXINGTON
STD89119 Horizon Ridge Wellness Clinic, Inc
Print
Covered Entity Details
Entity Name
Horizon Ridge Wellness Clinic, Inc
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD89119
Entity Address
1670 E Flamingo Road, Suite A
Suite A
Las Vegas, NV 89119
Grant Number
5NH25PS005179-04-00
Participating Start Date
6/3/2022
Last Recertification Date
6/4/2024
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
6/3/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Bruce Eddins, Chief Administrator
(702) 489-2889 Ext: 102
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
5/19/2022
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session