Contract Pharmacy Details

KPH HEALTHCARE SERVICES, INC.
CHC10611-06 Lamoille Health Partners, Inc.

Covered Entity Details

Entity Name

Lamoille Health Partners, Inc.

Subdivision Name

Lamoille Health Family Dentistry

Type

HRSA-Funded Health Center

340B ID

CHC10611-06

Entity Address

66 Morrisville Plz
Morrisville, VT 05661-4482

Grant Number

H80CS10611

Participating Start Date

10/1/2019

Last Recertification Date

2/18/2025

Pharmacy Details

Pharmacy Name

KPH HEALTHCARE SERVICES, INC.

Pharmacy Address

KINNEY DRUGS #23
97 MORRISVILLE PLAZA
PO BOX 979
MORRISVILLE, VT 05661

Pharmacy Comments

Contract Details

Approval Date

7/22/2020

Contract Begin Date

10/1/2020

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Stuart G May, President / CEO
(802) 888-0901

Contract Pharmacy Representative

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

Signed By Date

7/22/2020

340B Drug Pricing Program Database