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LONGS DRUGS OF LEXINGTON
STD43420 Sandusky County Public Health
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Covered Entity Details
Entity Name
Sandusky County Public Health
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD43420
Entity Address
2000 Countryside Dr
Fremont, OH 43420
Grant Number
6 NH25PS005PS19-1901
Participating Start Date
10/1/2021
Last Recertification Date
5/7/2025
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
1/3/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Bethany Brown, Health Commissioner
(419) 334-6377
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
1/3/2024
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