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RIVERBEND PHARMACY INC
CH042160 DAYSPRING HEALTH, INC.
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Covered Entity Details
Entity Name
DAYSPRING HEALTH, INC.
Subdivision Name
DAYSPRING HEALTH, INC.
Type
HRSA-Funded Health Center
340B ID
CH042160
Entity Address
107 S Main St
Jellico, TN 37762-2154
Grant Number
H80CS00716
Participating Start Date
10/1/1996
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
RIVERBEND PHARMACY INC
Pharmacy Address
D/B/A HERITAGE PHARMACY OF WILLIAMSBURG
1047 US HIGHWAY 25W SUITE 1
WILLIAMSBURG, KY 40769
Pharmacy Comments
Contract Details
Approval Date
7/2/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lawrence Michael Rector, CEO
(423) 784-8492 Ext: 221
Contract Pharmacy Representative
Riverbend Pharmacy
Ciera Swords, Pharmacist
(276) 639-2438
Signed By Date
7/2/2024
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