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LONGS DRUGS OF LEXINGTON
STD43338 Morrow County Health District
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Covered Entity Details
Entity Name
Morrow County Health District
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD43338
Entity Address
480 Douglas Street
Mt. Gilead, OH 43338
Grant Number
6NH25PS005134-05-07
Participating Start Date
4/1/2025
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
10/10/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Stephanie M Bragg, Health Commissioner
(419) 947-1545 Ext: 308
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
10/10/2023
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