Contract Pharmacy Details

HOMETOWN PHARMACY, LLC
CH0618980 Rkm Primary Care

Covered Entity Details

Entity Name

Rkm Primary Care

Subdivision Name

RKM Primary Care

Type

HRSA-Funded Health Center

340B ID

CH0618980

Entity Address

11990 JACKSON STREET
CLINTON, LA 70722

Grant Number

H80CS06459

Participating Start Date

9/9/2005

Last Recertification Date

2/19/2025

Pharmacy Details

Pharmacy Name

HOMETOWN PHARMACY, LLC

Pharmacy Address

27118 HIGHWAY 42
SPRINGFIELD, LA 70462-7979

Pharmacy Comments

Contract Details

Approval Date

4/18/2017

Contract Begin Date

7/1/2017

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Ginger A. Hunt, CEO
(225) 683-6725

Contract Pharmacy Representative

DIANA STEELE, PHARMACIST
(225) 294-6021

Signed By Date

4/18/2017