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K-VA-T FOOD STORES INC
CH045064A KENTUCKY MOUNTAIN HEALTH ALLIANCE, INC.
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Covered Entity Details
Entity Name
KENTUCKY MOUNTAIN HEALTH ALLIANCE, INC.
Subdivision Name
Little Flower Clinic
Type
HRSA-Funded Health Center
340B ID
CH045064A
Entity Address
279 East Main Street
Hazard, KY 41701-1920
Grant Number
H80CS07772
Participating Start Date
4/1/2008
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
K-VA-T FOOD STORES INC
Pharmacy Address
FOOD CITY PHARMACY #437
2478 S US HIGHWAY 421
HARLAN, KY 40831
Pharmacy Comments
Contract Details
Approval Date
7/1/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ELLEN JEAN VANCE, EXECUTIVE DIRECTOR
(606) 487-9505 Ext: 7
Contract Pharmacy Representative
KVAT Food Stores
Becky Blackstone, Pharmacy
(276) 623-5100 Ext: 5384
Signed By Date
7/1/2024
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