340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
LONGS DRUGS OF LEXINGTON
FP49307 DISTRICT HEALTH DEPARTMENT NO 10
Print
Covered Entity Details
Entity Name
DISTRICT HEALTH DEPARTMENT NO 10
Subdivision Name
Mecosta
Type
Family Planning (Title X only)
340B ID
FP49307
Entity Address
14485 NORTHLAND DR
BIG RAPIDS, MI 49307
Grant Number
FPHPA006540
Participating Start Date
10/1/2007
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
4/2/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sheila Parker, Clinical Supervisor
(231) 236-7588
Contract Pharmacy Representative
PMQ Group, LLC dba Avita
Chris Creamer, SVP
(469) 592-2000
Signed By Date
4/2/2024
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