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SOUTH CREEK DRUG
CH040600 MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
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Covered Entity Details
Entity Name
MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Subdivision Name
Whitesburg Medical/Dental Clinic
Type
HRSA-Funded Health Center
340B ID
CH040600
Entity Address
226 Medical Plaza Ln
Whitesburg, KY 41858-7425
Grant Number
H80CS00367
Participating Start Date
10/1/2004
Last Recertification Date
2/24/2025
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
4/16/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
L.M. Caudill, CEO
(606) 633-4823
Contract Pharmacy Representative
Addiction Recovery Centers
Lawrence Vinson, Chief of Staff
(606) 348-1800
Signed By Date
4/16/2021
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