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LONGS DRUGS OF LEXINGTON
STD33426 Oceana Community Health Inc
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Covered Entity Details
Entity Name
Oceana Community Health Inc
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD33426
Entity Address
2828 S Seacrest Blvd
SUITE 208
Boynton Beach, FL 33435
Grant Number
H25PS005131
Participating Start Date
2/3/2023
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
7/17/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Youssef Motii, Executive Director
(561) 543-2236
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
7/17/2023
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