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SCOTT COUNTY PHARMACY INC
CH04144G MOUNTAIN PEOPLES HEALTH COUNCILS INC
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Covered Entity Details
Entity Name
MOUNTAIN PEOPLES HEALTH COUNCILS INC
Subdivision Name
WINFIELD MEDICAL CENTER
Type
HRSA-Funded Health Center
340B ID
CH04144G
Entity Address
25677 Scott Hwy
Winfield, TN 37892-2293
Grant Number
H80CS00467
Participating Start Date
4/1/2008
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
SCOTT COUNTY PHARMACY INC
Pharmacy Address
950 BAKER HWY UNIT 1
PO BOX 306
HUNTSVILLE, TN 37756-4169
Pharmacy Comments
Contract Details
Approval Date
3/9/2011
Contract Begin Date
3/9/2011
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
2/25/2011
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