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PEYTON'S PHARMACY INC
CH0438280 JUNIPER HEALTH, INC.
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Covered Entity Details
Entity Name
JUNIPER HEALTH, INC.
Subdivision Name
JUNIPER HEALTH, INC.
Type
HRSA-Funded Health Center
340B ID
CH0438280
Entity Address
141 Main St
BEATTYVILLE, KY 41311
Grant Number
H80CS04203
Participating Start Date
4/1/2005
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
PEYTON'S PHARMACY INC
Pharmacy Address
414 MAIN ST
WEST LIBERTY, KY 41472-1014
Pharmacy Comments
Contract Details
Approval Date
5/4/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Derrick J Hamilton, Chief Executive Officer
(606) 464-0151 Ext: 6064640151
Contract Pharmacy Representative
Peyton's Pharmacy
Steven Roy, Owner
(606) 743-3163
Signed By Date
5/4/2023
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