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POOLE'S PHARMACY CARE
CHC17157-01 REGIONAL HEALTH CARE AFFILIATES, INC.
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Covered Entity Details
Entity Name
REGIONAL HEALTH CARE AFFILIATES, INC.
Subdivision Name
Regional Health Care Affiliates, Inc. Doing Business As Health First CHC - Calhoun
Type
HRSA-Funded Health Center
340B ID
CHC17157-01
Entity Address
295 Main Street
Calhoun, KY 42327-2104
Grant Number
H80CS17157
Participating Start Date
7/1/2010
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
POOLE'S PHARMACY CARE
Pharmacy Address
311 HENTON ST
LIVERMORE, KY 42352-2126
Pharmacy Comments
9/10/2010 - CHANGED ADDRESS TO MATCH DEA CERTIFICATE. OLD ADDRES IS 311 HENTON ST. HENTON STREET IS HWY 431 EAST.
Contract Details
Approval Date
7/30/2010
Contract Begin Date
7/30/2010
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
7/13/2010
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