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LONGS DRUGS OF LEXINGTON
STD33024 Alpha Omega Alliance Inc
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Covered Entity Details
Entity Name
Alpha Omega Alliance Inc
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD33024
Entity Address
2800 E Commercial Blvd
Suite 210
Ft Lauderdale, FL 33308
Grant Number
NH25PS005131
Participating Start Date
12/4/2019
Last Recertification Date
5/15/2024
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
4/14/2023
Contract Begin Date
4/20/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Colin C Conner II, CEO
(407) 924-7620
Contract Pharmacy Representative
Avita Pharmacy
Shawn Smith, Account Executive
(305) 906-2937
Signed By Date
4/14/2023
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