Contract Pharmacy Details

IRVINE HEALTH CARE PHARMACY
CH0441420 Kentucky River Foothills Development Council, Incorporated

Covered Entity Details

Entity Name

Kentucky River Foothills Development Council, Incorporated

Subdivision Name

KENTUCKY RIVER FOOTHILLS DEVELOPMENT COUNCIL, INC.

Type

HRSA-Funded Health Center

340B ID

CH0441420

Entity Address

309 Spangler Dr
Richmond, KY 40475-2457

Grant Number

H80CS04432

Participating Start Date

10/17/2005

Last Recertification Date

2/12/2016

Entity Termination Date

1/1/2017

Pharmacy Details

Pharmacy Name

IRVINE HEALTH CARE PHARMACY

Pharmacy Address

SUITE 1
1325 RICHMOND RD
IRVINE, KY 40336-7233

Pharmacy Comments

Contract Details

Approval Date

11/10/2010

Contract Begin Date

11/16/2010

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/1/2017

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

Signed By Date

11/2/2010

340B Drug Pricing Program Database