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SCIENCE HILL DRUG
FQHCLA422A Faith Healthcare, Inc
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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
SCIENCE HILL DRUG
Pharmacy Address
5775 N HIGHWAY 27 STE 10
SCIENCE HILL, KY 42553-9150
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
Science Hill Drug
Jessica Tanner, Pharmacist
(606) 423-9959
Signed By Date
9/9/2021
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