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TOTAL PHARMACY CARE #3
CH040670 BIG SANDY HEALTH CARE, INC.
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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
TOTAL PHARMACY CARE #3
Pharmacy Address
420 N LAKE DR
PRESTONSBURG, KY 41653-1230
Pharmacy Comments
Contract Details
Approval Date
4/5/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/13/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Ancil Lewis, Chief Executive Officer
(606) 886-8546 Ext: 1100
Contract Pharmacy Representative
Total Pharmacy Care #3
Billy Rowe, Owner
(606) 433-0555
Signed By Date
4/5/2017
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