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LONGS DRUGS OF LEXINGTON
TB452022 HAMILTON COUNTY General Health District
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Covered Entity Details
Entity Name
HAMILTON COUNTY General Health District
Subdivision Name
TB CONTROL CLINIC
Type
Tuberculosis
340B ID
TB452022
Entity Address
5050 Section Avenue
Suite 200
CINCINNATI, OH 45212
Grant Number
1 NU52PS910296-01-00
Participating Start Date
7/1/2001
Last Recertification Date
5/6/2025
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
10/8/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Greg E Kesterman, Health Commissioner
(513) 946-7831
Contract Pharmacy Representative
PMQ Group, LLC dba Avita
Chris Creamer, SVP
(469) 592-2000
Signed By Date
10/8/2024
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