Contract Pharmacy Details

HOMETOWN PHARMACY, LLC
CH061898E RKM PRIMARY CARE

Covered Entity Details

Entity Name

RKM PRIMARY CARE

Subdivision Name

RKM Primary Care Springfield

Type

HRSA-Funded Health Center

340B ID

CH061898E

Entity Address

27124 HIGHWAY 42
SPRINGFIELD, LA 70462-7979

Grant Number

H80CS06459

Participating Start Date

1/1/2016

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

HOMETOWN PHARMACY, LLC

Pharmacy Address

27118 HIGHWAY 42
SPRINGFIELD, LA 70462-7979

Pharmacy Comments

Contract Details

Approval Date

10/15/2015

Contract Begin Date

1/1/2016

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Ginger A. Hunt, CEO
(225) 683-6725

Contract Pharmacy Representative

Diana Steele, Pharmacist/Owner
(225) 294-6021

Signed By Date

10/15/2015