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MARROWBONE FAMILY PHARMACY, LLC
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
MARROWBONE FAMILY PHARMACY, LLC
Pharmacy Address
RUSSELL FORK PHARMACY
10363 REGINA / BELCHER HWY
ELKHORN CITY, KY 41522
Pharmacy Comments
Contract Details
Approval Date
10/22/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/15/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
L.M. Caudill, CEO
(606) 633-4823
Contract Pharmacy Representative
Russell Fork Pharmacy
Chris Johnson, Owner
(606) 754-7085
Signed By Date
10/22/2021
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