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NANCY PHARMACY, L.L.C.
FQHCLA422B Faith Healthcare, Inc
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Covered Entity Details
Entity Name
Faith Healthcare, Inc
Subdivision Name
Science Hill Community Care
Type
Health Center Program Look-Alike
340B ID
FQHCLA422B
Entity Address
5775 N Highway 27 Ste 6
Science Hill, KY 42553-9140
Grant Number
LALCS40209
Participating Start Date
9/10/2021
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
NANCY PHARMACY, L.L.C.
Pharmacy Address
9919 W HIGHWAY 80 STE 100
NANCY, KY 42544-9003
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
Nancy Pharmacy, LLC
Amber Kilburn, Pharmacist in Charge
(606) 288-0018
Signed By Date
9/9/2021
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