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TAYLOR DRUG STORE
CH04060AC MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
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Covered Entity Details
Entity Name
MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Subdivision Name
Pineville Medical Clinic
Type
HRSA-Funded Health Center
340B ID
CH04060AC
Entity Address
251 S Pine Street
PINEVILLE, KY 40977-1646
Grant Number
H80CS00367
Participating Start Date
1/1/2016
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
TAYLOR DRUG STORE
Pharmacy Address
308 PINE STREET
PINEVILLE, KY 40977
Pharmacy Comments
Contract Details
Approval Date
10/13/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/10/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
L.M. Caudill, CEO
(606) 633-4823
Contract Pharmacy Representative
Jason Taylor, Owner/Operator
(606) 337-8300
Signed By Date
10/13/2015
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