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RIVER MEDICAL PHARMACY LLC
CHC30716-00 KNOX, COUNTY OF
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Covered Entity Details
Entity Name
KNOX, COUNTY OF
Subdivision Name
Danville Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC30716-00
Entity Address
12 East Main Street
Danville, OH 43014
Grant Number
H80CS30716
Participating Start Date
4/1/2020
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
RIVER MEDICAL PHARMACY LLC
Pharmacy Address
4752 RESEARCH DR
SAN ANTONIO, TX 78240-5002
Pharmacy Comments
Contract Details
Approval Date
10/14/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lane K Belangia, CEO
(740) 392-2222 Ext: 2275
Contract Pharmacy Representative
BIOPLUS SPECIALTY PHARMACY
Bill Cook, Executive VP Sales and Business Development
(407) 388-5927 Ext: 4209
Signed By Date
10/14/2024
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