340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
LONGS DRUGS OF LEXINGTON
STD43812 KNO-HO-CO-ASHLAND COMMUNITY ACTION COMMISSION
Print
Covered Entity Details
Entity Name
KNO-HO-CO-ASHLAND COMMUNITY ACTION COMMISSION
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD43812
Entity Address
120 N 4TH ST
COSHOCTON, OH 43812
Grant Number
6NH25PS005134-05-07
Participating Start Date
10/1/2022
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
4/17/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
KELLY CORRIGAN, ADMINISTRATOR
(740) 622-9801 Ext: 1030
Contract Pharmacy Representative
PMQ Group, LLC dba Avita
Chris Creamer, SVP
(469) 592-2000
Signed By Date
4/17/2023
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