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LONGS DRUGS OF LEXINGTON
STD327892 Harmony Healthcare Orlando, Inc.
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Covered Entity Details
Entity Name
Harmony Healthcare Orlando, Inc.
Subdivision Name
Harmony Healthcare, Inc
Type
Sexually Transmitted Diseases
340B ID
STD327892
Entity Address
189 S. Orange Ave
Suite 1830
Orlando, FL 32801
Grant Number
NH25PS005131
Participating Start Date
12/9/2019
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
4/15/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Priscilla Torres, Executive Director
(407) 777-2022
Contract Pharmacy Representative
Avita
Keith Fox, Senior VP National Accounts
(225) 315-8186
Signed By Date
4/15/2024
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