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DIPLOMAT SPECIALTY 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
DIPLOMAT SPECIALTY PHARMACY
Pharmacy Address
G3320 BEECHER RD
FLINT, MI 48532-3614
Pharmacy Comments
Contract Details
Approval Date
1/15/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/17/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Lori Ritchey-Baldwin, CFO
(859) 655-1642
Contract Pharmacy Representative
Diplomat Pharmacy Inc.
Stacey Kennedy, Manager
(810) 732-8720
Signed By Date
1/15/2019
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