Contract Pharmacy Details

MIDWAY PHARMACY
CHC33793-01 A+ FAMILY HEALTHCARE, LLC

Covered Entity Details

Entity Name

A+ FAMILY HEALTHCARE, LLC

Subdivision Name

A Plus Family HealthCare-Sonora

Type

HRSA-Funded Health Center

340B ID

CHC33793-01

Entity Address

12080 S Dixie Hwy
Sonora, KY 42776-9739

Grant Number

H80CS33793

Participating Start Date

4/1/2020

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

MIDWAY PHARMACY

Pharmacy Address

627 WEST MAIN STREET
CLARKSON, KY 42726

Pharmacy Comments

Contract Details

Approval Date

7/15/2022

Contract Begin Date

10/1/2022

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/15/2022
Agreement registered in error

Contacts

Covered Entity Signing Official

Patrick Merritt, CEO
(270) 975-4050

Contract Pharmacy Representative

Midway Pharmacy
Trevor Ray, PIC
(270) 259-8400

Signed By Date

7/15/2022