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RIVER MEDICAL PHARMACY LLC
CH062774J Morehouse Community Medical Centers, Inc
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Covered Entity Details
Entity Name
Morehouse Community Medical Centers, Inc
Subdivision Name
CommuniHealth Services - Mobile Unit #1 (BCHC)
Type
HRSA-Funded Health Center
340B ID
CH062774J
Entity Address
314 N Franklin St
Bastrop, LA 71220
Grant Number
H80CS08764
Participating Start Date
10/1/2017
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
RIVER MEDICAL PHARMACY LLC
Pharmacy Address
4752 RESEARCH DR
SAN ANTONIO, TX 78240-5002
Pharmacy Comments
Contract Details
Approval Date
7/13/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/17/2023
Agreement registered in error
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
CarepathRx Health System Solution
Ryan Rushing, Vice President, 340B Solutions
(512) 541-0665
Signed By Date
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