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SEMC MEDICAL VILLAGE PHARMACY
CAH181311-00 ST ELIZABETH HEALTHCARE GRANT COUNTY
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Covered Entity Details
Entity Name
ST ELIZABETH HEALTHCARE GRANT COUNTY
Subdivision Name
ST ELIZABETH GRANT COUNTY
Type
Critical Access Hospital
340B ID
CAH181311-00
Entity Address
238 BARNES RD
WILLIAMSTOWN, KY 41097
Medicare Provider Number
181311
Participating Start Date
10/1/2018
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
SEMC MEDICAL VILLAGE PHARMACY
Pharmacy Address
20 MEDICAL VILLAGE DR STE 101
EDGEWOOD, KY 41017
Pharmacy Comments
Contract Details
Approval Date
1/14/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/6/2019
Agreement registered in error
Contacts
Covered Entity Signing Official
Lori Ritchey-Baldwin, CFO
(859) 655-1642
Contract Pharmacy Representative
St. Elizabeth Healthcare
Angela Brunemann, Supervisor, Ambulatory Pharmacy
(859) 301-9025
Signed By Date
1/14/2019
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