Contract Pharmacy Details

RITE AID OF KENTUCKY, INC.
CH040670 BIG SANDY HEALTH CARE, INC.

Covered Entity Details

Entity Name

BIG SANDY HEALTH CARE, INC.

Subdivision Name

BIG SANDY HEALTH CARE, INC.

Type

HRSA-Funded Health Center

340B ID

CH040670

Entity Address

1709 Ky Route 321
Prestonsburg, KY 41653

Grant Number

H80CS00619

Participating Start Date

12/1/1992

Last Recertification Date

2/27/2025

Pharmacy Details

Pharmacy Name

RITE AID OF KENTUCKY, INC.

Pharmacy Address

RITE AID #3345
5571 COLLINS HIGHWAY
PIKEVILLE, KY 41501-6846

Pharmacy Comments

Contract Details

Approval Date

7/6/2016

Contract Begin Date

10/1/2016

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/25/2018
Ownership change

Contacts

Covered Entity Signing Official

Ancil Lewis, Chief Executive Officer
(606) 886-8546 Ext: 1100

Contract Pharmacy Representative

Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968

Signed By Date

7/6/2016

340B Drug Pricing Program Database