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LONGS DRUGS OF LEXINGTON
FP430553 FAMILY HEALTH SERVICES OF EAST CENTRAL OHIO
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Covered Entity Details
Entity Name
FAMILY HEALTH SERVICES OF EAST CENTRAL OHIO
Subdivision Name
Type
Family Planning (Title X only)
340B ID
FP430553
Entity Address
100 MCMILLEN DR
NEWARK, OH 43055
Grant Number
FPHPA006567
Participating Start Date
1/1/1998
Last Recertification Date
5/28/2025
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
10/3/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ashley Brooke Washburn, Executive Director
(740) 344-9291
Contract Pharmacy Representative
PMQ Group, LLC dba Avita
Chris Creamer, SVP
(469) 592-2000
Signed By Date
10/3/2024
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