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MIDWAY PHARMACY
CAH181319-00 BRECKINRIDGE HEALTH, INC.
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Covered Entity Details
Entity Name
BRECKINRIDGE HEALTH, INC.
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH181319-00
Entity Address
1011 OLD HIGHWAY 60
HARDINSBURG, KY 40143
Medicare Provider Number
181319
Participating Start Date
7/1/2011
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
MIDWAY PHARMACY
Pharmacy Address
908 WALLACE AVE
SUITE 105
LEITCHFIELD, KY 42754-1479
Pharmacy Comments
Contract Details
Approval Date
4/15/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Timothy D Crockett, CFO
(270) 756-6655
Contract Pharmacy Representative
Midway Pharmacy
Trevor Ray, PIC
(270) 259-8400
Signed By Date
4/15/2019
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