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LONGS DRUGS OF LEXINGTON
STD76012 Together for health
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Covered Entity Details
Entity Name
Together for health
Subdivision Name
Covenant Women's Health
Type
Sexually Transmitted Diseases
340B ID
STD76012
Entity Address
801 W Road to Six Flags Street
Suite 116
Arlington, TX 76012
Grant Number
NH25PS005182
Participating Start Date
7/1/2025
Last Recertification Date
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
5/23/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Leonard Hinton, Manager
(917) 364-8984
Contract Pharmacy Representative
PMQ Group, LLC dba Avita
Chris Creamer, SVP
(469) 592-2000
Signed By Date
5/23/2025
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