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HTRX, LLC HOMETOWN RX PHARMACY
FQHCLA337 RURAL HEALTH ACCESS CORPORATION
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Covered Entity Details
Entity Name
RURAL HEALTH ACCESS CORPORATION
Subdivision Name
Coalfield Health Center
Type
Health Center Program Look-Alike
340B ID
FQHCLA337
Entity Address
386 Airport Road
Chapmanville, WV 25508
Grant Number
LALCS00112
Participating Start Date
1/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
HTRX, LLC HOMETOWN RX PHARMACY
Pharmacy Address
369 HANGING ROCK HWY
LOGAN, WV 25601
Pharmacy Comments
Contract Details
Approval Date
10/12/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Kristin Dial, Executive Director
(304) 855-1228
Contract Pharmacy Representative
Hometown Pharmacy
Terri Doss, Pharmacist
(304) 688-8952
Signed By Date
10/12/2021
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