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KPH HEALTHCARE SERVICES, INC.
CH011222B LITTLE RIVERS HEALTH CARE, INC.
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Covered Entity Details
Entity Name
LITTLE RIVERS HEALTH CARE, INC.
Subdivision Name
EAST CORINTH
Type
HRSA-Funded Health Center
340B ID
CH011222B
Entity Address
720 Village Rd
East Corinth, VT 05040
Grant Number
H80CS06658
Participating Start Date
4/1/2008
Last Recertification Date
2/10/2025
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
7/11/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Andrew Barter, CEO
(802) 222-3023
Contract Pharmacy Representative
KPH Healthcare Services, Inc.
Debbi Barber, 340B Program Director
(315) 287-3600 Ext: 2423
Signed By Date
7/11/2024
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