340B Drug Pricing Program Database
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CH04898AF Lewis County Primary Care Center, Inc (Active)
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Main Details
Name
Lewis County Primary Care Center, Inc
Subdivision Name
PrimaryPlus - Denham Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-032032
340B ID
CH04898AF
Grant Number
H80CS00106
Additional Details
Current Program Status
Active
Registration Date
4/13/2021
Participating Start Date
7/1/2021
Participating Approval Date
4/14/2021
Last Recertification Date
2/26/2025
Contacts
Authorizing Official
Lewis County Primary Care Center, Inc.
JERRY UGRIN, CEO
(606) 796-3029
Primary Contact
Lewis County Primary Care Center, Inc.
Chad Evans, PharmD
(606) 956-0188
Addresses
Street Address
525 Tucker Dr
Maysville, KY 41056-9182
Billing Address
Lewis County Primary Care Center, Inc.
211 KY 59
P.O. Box 550
Vanceburg, KY 41179
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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