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KSV HEALTHCARE LLC
CHC26641-01 Battenkill Valley Health Center, Inc.
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Covered Entity Details
Entity Name
Battenkill Valley Health Center, Inc.
Subdivision Name
Battenkill Valley Health Center, Inc.
Type
HRSA-Funded Health Center
340B ID
CHC26641-01
Entity Address
18 Church St
Arlington, VT 05250-4457
Grant Number
H80CS26641
Participating Start Date
9/9/2021
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
KSV HEALTHCARE LLC
Pharmacy Address
THE PHARMACY- NORTHSHIRE
34 WAYS LN
MANCHESTR CTR, VT 05255
Pharmacy Comments
Contract Details
Approval Date
7/17/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kayla Lynn Davis, Project Director
(802) 430-7281
Contract Pharmacy Representative
The Pharmacy Inc.
Harsh Patel, President
(802) 442-5602
Signed By Date
7/17/2023
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