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DOGWOOD PHARMACY LLC
CH045064A KENTUCKY MOUNTAIN HEALTH ALLIANCE, INC.
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Covered Entity Details
Entity Name
KENTUCKY MOUNTAIN HEALTH ALLIANCE, INC.
Subdivision Name
Little Flower Clinic
Type
HRSA-Funded Health Center
340B ID
CH045064A
Entity Address
279 East Main Street
Hazard, KY 41701-1920
Grant Number
H80CS07772
Participating Start Date
4/1/2008
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
DOGWOOD PHARMACY LLC
Pharmacy Address
D/B/A MEDSCRIPTS MEDICAL PHARMACY
1325 MILLER RD
STE K
GREENVILLE, SC 29607-6541
Pharmacy Comments
Contract Details
Approval Date
4/9/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ELLEN JEAN VANCE, EXECUTIVE DIRECTOR
(606) 487-9505 Ext: 7
Contract Pharmacy Representative
BioPlus
Jeremy Richardson, Vice President of Strategy & Commercial Growth
(317) 730-7705
Signed By Date
4/9/2025
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