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FOUR RIVERS PHARMACY
CHC26595-00 PENNYROYAL HEALTHCARE SERVICES INC.
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Covered Entity Details
Entity Name
PENNYROYAL HEALTHCARE SERVICES INC.
Subdivision Name
Community Medical Clinic, Princeton
Type
HRSA-Funded Health Center
340B ID
CHC26595-00
Entity Address
1022 W, Main St.
PRINCETON, KY 42445-1622
Grant Number
H80CS26595
Participating Start Date
7/1/2014
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
FOUR RIVERS PHARMACY
Pharmacy Address
150 RALEIGH DR
ELIZABETHTOWN, KY 42701-7139
Pharmacy Comments
Contract Details
Approval Date
6/30/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/21/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Kecia Fulcher, CEO
(270) 365-0227
Contract Pharmacy Representative
Terry Reeves, Chief Operating Officer
(270) 408-4788
Signed By Date
6/30/2014
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