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KENTUCKY CENTRAL FILL FACILITY, L-010
CH0413090 Cherokee Health Systems
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Covered Entity Details
Entity Name
Cherokee Health Systems
Subdivision Name
CHS Talbott Clinic
Type
HRSA-Funded Health Center
340B ID
CH0413090
Entity Address
6350 W Andrew Johnson Hwy
Talbott, TN 37877
Grant Number
H80CS00309
Participating Start Date
7/1/2005
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
KENTUCKY CENTRAL FILL FACILITY, L-010
Pharmacy Address
5594 SHEPHERDSVILLE ROAD
LOUISVILLE, KY 40228-1012
Pharmacy Comments
Contract Details
Approval Date
1/11/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/10/2022
Pharmacy closed
Contacts
Covered Entity Signing Official
Jeffrey W Howard, CFO
(865) 934-6708
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
1/11/2019
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