Contract Pharmacy Details

KPH HEALTHCARE SERVICES, INC.
CH013970 RICHFORD HEALTH CENTER, INC.

Covered Entity Details

Entity Name

RICHFORD HEALTH CENTER, INC.

Subdivision Name

Richford Health Center

Type

HRSA-Funded Health Center

340B ID

CH013970

Entity Address

44 Main Street
Richford, VT 05476-1153

Grant Number

H80CS00261

Participating Start Date

1/1/2003

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

KPH HEALTHCARE SERVICES, INC.

Pharmacy Address

KINNEY DRUGS #18
164 SWANTON ROAD
ST ALBANS, VT 05478

Pharmacy Comments

Contract Details

Approval Date

9/14/2012

Contract Begin Date

10/1/2012

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

KATHY J BENOIT, Executive Director
(802) 255-5562 Ext: 562

Contract Pharmacy Representative

Kinney Drugs
Debbi Barber, Director of Pharmacy Programs
(315) 287-3600 Ext: 2423

Signed By Date

8/31/2012

340B Drug Pricing Program Database