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MIDWAY PHARMACY
CHC33793-02 A+ FAMILY HEALTHCARE, LLC
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Covered Entity Details
Entity Name
A+ FAMILY HEALTHCARE, LLC
Subdivision Name
Kyrock Elementary School
Type
HRSA-Funded Health Center
340B ID
CHC33793-02
Entity Address
5720 Ky Highway 259 N
Sweeden, KY 42285-7106
Grant Number
H80CS33793
Participating Start Date
4/1/2023
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
MIDWAY PHARMACY
Pharmacy Address
908 WALLACE AVE
SUITE 105
LEITCHFIELD, KY 42754-1479
Pharmacy Comments
Contract Details
Approval Date
4/10/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Patrick Merritt, CEO
(270) 975-4050
Contract Pharmacy Representative
Medical Arts Pharmacy of Glasgow, Inc
Trevor Ray, Owner
(270) 589-7287
Signed By Date
4/10/2024
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