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COFFMAN FAMILY DRUGS, LLC
CHC17157-00 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 - Providence
Type
HRSA-Funded Health Center
340B ID
CHC17157-00
Entity Address
215 East Main Street
Providence, KY 42450-1261
Grant Number
H80CS17157
Participating Start Date
7/1/2010
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
COFFMAN FAMILY DRUGS, LLC
Pharmacy Address
DBA NORTONVILLE PHARMACY
229 S HOPKINSVILLE ST
NORTONVILLE, KY 42442-9444
Pharmacy Comments
Contract Details
Approval Date
7/27/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Bill Smith, CEO
(270) 667-7017 Ext: 2101
Contract Pharmacy Representative
Coffman and Hart LLC
Adam Coffman, owner/pharmacist
(270) 676-8268
Signed By Date
7/27/2016
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