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HTRX, LLC HOMETOWN RX PHARMACY
FQHCLA450 LOGAN-MINGO AREA MENTAL HEALTH INC
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Covered Entity Details
Entity Name
LOGAN-MINGO AREA MENTAL HEALTH INC
Subdivision Name
Logan Mingo Area Mental Health, Inc.
Type
Health Center Program Look-Alike
340B ID
FQHCLA450
Entity Address
174 LMAMH Center Road
Logan, WV 25601
Grant Number
LALCS33895
Participating Start Date
10/1/2023
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
HTRX, LLC HOMETOWN RX PHARMACY
Pharmacy Address
369 HANGING ROCK HWY
LOGAN, WV 25601
Pharmacy Comments
Contract Details
Approval Date
10/15/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Donna J. Cooke, Chief Executive Officer
(304) 792-7130 Ext: 1045
Contract Pharmacy Representative
Hometown Pharmacy
Terri Doss, Pharmacist
(304) 688-8952
Signed By Date
10/15/2024
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