340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SILVERS HOMETOWN PHARMACY
FQHCLA422A Faith Healthcare, Inc
Print
Covered Entity Details
Entity Name
Faith Healthcare, Inc
Subdivision Name
Nancy Family Care
Type
Health Center Program Look-Alike
340B ID
FQHCLA422A
Entity Address
9919 W Highway 80
Nancy, KY 42544-9003
Grant Number
LALCS40209
Participating Start Date
9/10/2021
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
SILVERS HOMETOWN PHARMACY
Pharmacy Address
1251 W COLUMBIA AVE
MONTICELLO, KY 42633
Pharmacy Comments
Contract Details
Approval Date
9/10/2021
Contract Begin Date
9/10/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Timothy Carnes, 340B Program Co-Director/Chief Pharmacy Officer
(270) 566-1074
Contract Pharmacy Representative
Silvers Hometown Pharmacy
Bryce Childers, Owner
(606) 343-0101
Signed By Date
9/9/2021
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