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LONGS DRUGS OF LEXINGTON
STD73072 Harmony Wellness Center
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Covered Entity Details
Entity Name
Harmony Wellness Center
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD73072
Entity Address
411 NW 7 TH ST. Suite 115
Oklahoma City, OK 73102
Grant Number
NH25PS005143-03-00
Participating Start Date
1/1/2025
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
1/2/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ANDY GONZALES, CEO
(405) 445-2060
Contract Pharmacy Representative
Avita
Chris Creamer, COO
(469) 592-2000
Signed By Date
1/2/2025
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