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LYON DRUG STORE
CHC17157-08 Regional Health Care Affiliates, Inc.
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Covered Entity Details
Entity Name
Regional Health Care Affiliates, Inc.
Subdivision Name
Regional Health Care Affiliates, Inc. dba Health First Community Health Center- Princeton
Type
HRSA-Funded Health Center
340B ID
CHC17157-08
Entity Address
1100 S Jefferson Street
Princeton, KY 42445-2379
Grant Number
H80CS17157
Participating Start Date
10/1/2017
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
LYON DRUG STORE
Pharmacy Address
201 W MAIN ST
PO BOX 490
EDDYVILLE, KY 42038-7752
Pharmacy Comments
Contract Details
Approval Date
1/13/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Shelley Renea Gobin, CEO
(270) 667-2535 Ext: 2104
Contract Pharmacy Representative
Lyon Drug Store
Edwin Nickell, President
(270) 388-2236
Signed By Date
1/13/2023
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