340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
BOONEVILLE DISCOUNT DRUGS
BL040600 MOUNTAIN COMPREHENSIVE HEALTH CORP.
Print
Covered Entity Details
Entity Name
MOUNTAIN COMPREHENSIVE HEALTH CORP.
Subdivision Name
WHITESBURG MEDICAL CLINIC
Type
Black Lung Clinics Program
340B ID
BL040600
Entity Address
226 MEDICAL PLAZA LANE
WHITESBURG, KY 41858
Grant Number
H37RH00050
Participating Start Date
10/1/2004
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
BOONEVILLE DISCOUNT DRUGS
Pharmacy Address
478 KY 11 N
BOONEVILLE, KY 41314-9155
Pharmacy Comments
05/31/2012 changed address (was 478 KY 11 North)
Contract Details
Approval Date
4/2/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/10/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
L.M. Caudill, CEO
(606) 633-4823
Contract Pharmacy Representative
Booneville Discount Drugs
Fred Carrico, Owner/Operator
(606) 593-0382
Signed By Date
4/2/2015
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session