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COAL GROVE PHARMACY, INC.
CH05166D IRONTON AND LAWRENCE COUNTY AREA COMMUNITY ACTION ORGANIZATION
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Covered Entity Details
Entity Name
IRONTON AND LAWRENCE COUNTY AREA COMMUNITY ACTION ORGANIZATION
Subdivision Name
Ironton Health Care Campus
Type
HRSA-Funded Health Center
340B ID
CH05166D
Entity Address
1408 Campbell Dr
Ironton, OH 45638-2301
Grant Number
H80CS00471
Participating Start Date
4/1/2012
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
COAL GROVE PHARMACY, INC.
Pharmacy Address
600 MARION PIKE
IRONTON, OH 45638
Pharmacy Comments
12/31/2012 coty update (was Coal Grove)
Contract Details
Approval Date
3/17/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/15/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Kelly Adkins, Chief Financial Officer
(740) 532-3534 Ext: 12004
Contract Pharmacy Representative
Jason Plummer, Owner
(740) 533-2479
Signed By Date
3/17/2017
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