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KPH HEALTHCARE SERVICES, INC.
CHC08230-00 NORTHEAST WASHINGTON COUNTY COMMUNITY HEALTH INC
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Covered Entity Details
Entity Name
NORTHEAST WASHINGTON COUNTY COMMUNITY HEALTH INC
Subdivision Name
THE HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CHC08230-00
Entity Address
157 Towne Ave
Plainfield, VT 05667-9425
Grant Number
H80CS08230
Participating Start Date
1/1/2007
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
KPH HEALTHCARE SERVICES, INC.
Pharmacy Address
KINNEY DRUGS #132
69 MAIN STREET
MONTPELIER, VT 05602
Pharmacy Comments
Contract Details
Approval Date
4/14/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Linda L Bartlett, COO
(802) 454-8336
Contract Pharmacy Representative
KPH Healthcare Services, Inc.
Debbi Barber, 340B Program Director
(315) 287-3600 Ext: 2423
Signed By Date
4/14/2020
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