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KIMPER PHARMACY, INC.
CH040670 BIG SANDY HEALTH CARE, INC.
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Covered Entity Details
Entity Name
BIG SANDY HEALTH CARE, INC.
Subdivision Name
BIG SANDY HEALTH CARE, INC.
Type
HRSA-Funded Health Center
340B ID
CH040670
Entity Address
1709 Ky Route 321
Prestonsburg, KY 41653
Grant Number
H80CS00619
Participating Start Date
12/1/1992
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
KIMPER PHARMACY, INC.
Pharmacy Address
9711 STATE HIGHWAY 194 E
KIMPER, KY 41539-6232
Pharmacy Comments
Contract Details
Approval Date
4/11/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
James William Herald, Chief Executive Officer
(606) 886-8546 Ext: 1106
Contract Pharmacy Representative
Elkhorn Drug
Robert Lester, Owner
(606) 754-0221
Signed By Date
4/11/2022
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