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ELKHORN DRUG INC
CH04067B BIG SANDY HEALTH CARE, INC.
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Covered Entity Details
Entity Name
BIG SANDY HEALTH CARE, INC.
Subdivision Name
SHELBY VALLEY CLINIC
Type
HRSA-Funded Health Center
340B ID
CH04067B
Entity Address
178 Douglas Pkwy
Pikeville, KY 41501-6970
Grant Number
H80CS00619
Participating Start Date
10/1/2004
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
ELKHORN DRUG INC
Pharmacy Address
105 E ELKHORN ST.
PO BOX 532
ELKHORN CITY, KY 41522
Pharmacy Comments
Contract Details
Approval Date
7/26/2011
Contract Begin Date
7/26/2011
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
4/15/2011
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