340B Drug Pricing Program Database

Pharmacy Name

KPH HEALTHCARE SERVICES, INC.

Pharmacy Address

KINNEY DRUGS #102
151 VT ROUTE 12 S
RANDOLPH, VT 05060-9237

Pharmacy Comments

Approval Date

10/20/2011

Contract Begin Date

7/6/2011

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official


Contract Pharmacy Representative

OWEN HALLORAN, VICE PRESIDENT OF PROFESSIONAL SERVICES

Signed By Date

7/1/2011