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LONGS DRUGS OF LEXINGTON
STD43764 Family Health Services of East Central Ohio INC
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Covered Entity Details
Entity Name
Family Health Services of East Central Ohio INC
Subdivision Name
New Lexington
Type
Sexually Transmitted Diseases
340B ID
STD43764
Entity Address
450 South State St
New Lexington, OH 43764
Grant Number
6 NH25PS005134-05-05
Participating Start Date
1/1/2024
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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