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BOONEVILLE DISCOUNT DRUGS
CH043828A JUNIPER HEALTH, INC.
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Covered Entity Details
Entity Name
JUNIPER HEALTH, INC.
Subdivision Name
Juniper Health Lee County
Type
HRSA-Funded Health Center
340B ID
CH043828A
Entity Address
1025 Grand Ave
Beattyville, KY 41311-7484
Grant Number
H80CS04203
Participating Start Date
10/1/2006
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
BOONEVILLE DISCOUNT DRUGS
Pharmacy Address
478 KY 11 N
BOONEVILLE, KY 41314-9155
Pharmacy Comments
05/31/2012 changed address (was 478 KY 11 North)
Contract Details
Approval Date
9/21/2012
Contract Begin Date
10/1/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Karen Ditsch, Chief Executive Officer
(606) 464-0151
Contract Pharmacy Representative
James Fred Carrico, Owner
(606) 593-0382
Signed By Date
8/31/2012
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