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WEBSTER DRUGS
CH0452880 TRIAD HEALTH SYSTEM INC
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Covered Entity Details
Entity Name
TRIAD HEALTH SYSTEM INC
Subdivision Name
TRIAD HEALTH SYSTEMS CHC
Type
HRSA-Funded Health Center
340B ID
CH0452880
Entity Address
441 US Highway 42 West
Warsaw, KY 41095-9323
Grant Number
H80CS08785
Participating Start Date
7/1/2008
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
WEBSTER DRUGS
Pharmacy Address
99 PARKLANES SHOPPING CENTER
PO BOX 311
CARROLLTON, KY 41008
Pharmacy Comments
Contract Details
Approval Date
7/8/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2022
Pharmacy closed
Contacts
Covered Entity Signing Official
ADAM CRAFT, EXECUTIVE DIRECTOR
(859) 567-1271
Contract Pharmacy Representative
Chuck Web, Owner
(502) 732-4331
Signed By Date
7/8/2015
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