340B Drug Pricing Program Database

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

Approval Date

2/9/2023

Contract Begin Date

4/1/2023

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Eula Burge, Chief Executive Officer/Executive Director
(708) 715-5052

Contract Pharmacy Representative

Avita
Chris Creamer, COO
(469) 592-2000

Signed By Date

1/16/2023