340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
KPH HEALTHCARE SERVICES, INC.
CH01064A NORTHERN COUNTIES HEALTH CARE, INC
Print
Covered Entity Details
Entity Name
NORTHERN COUNTIES HEALTH CARE, INC
Subdivision Name
ISLAND POND HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH01064A
Entity Address
82 MAPLE STREET
ISLAND POND, VT 05846-0425
Grant Number
H80CS00632
Participating Start Date
12/1/1992
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
KPH HEALTHCARE SERVICES, INC.
Pharmacy Address
KINNEY DRUGS #106
471 EAST MAIN STREET SUITE 2
GOUVERNEUR, NY 13642
Pharmacy Comments
Contract Details
Approval Date
7/10/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/6/2025
Duplicate contract pharmacy record
Contacts
Covered Entity Signing Official
Angela Neil, CFO
(802) 748-9405 Ext: 1599
Contract Pharmacy Representative
KPH Healthcare Services, Inc.
Debbi Barber, 340B Program Director
(315) 287-3600 Ext: 2423
Signed By Date
7/10/2024
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session