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SOUTH CREEK DRUG
CAH181331-00 APPALACHIAN REGIONAL HEALTHCARE INC. D/B/A MCDOWELL ARH HOSPITAL
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Covered Entity Details
Entity Name
APPALACHIAN REGIONAL HEALTHCARE INC. D/B/A MCDOWELL ARH HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH181331-00
Entity Address
9879 KY RTE 122
MCDOWELL, KY 41647
Medicare Provider Number
181331
Participating Start Date
9/8/2010
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
SOUTH CREEK DRUG
Pharmacy Address
130 WALMART PLAZA DR UNIT 1
MONTICELLO, KY 42633-7943
Pharmacy Comments
Contract Details
Approval Date
1/8/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/16/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Joseph Grossman, PRESIDENT and CEO
(859) 226-2450
Contract Pharmacy Representative
London Valu-Rite Pharmacy, Inc
Timothy Carnes, Manager
(270) 566-1074
Signed By Date
1/8/2021
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