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PDC, LLC
CAH181322-00 CALDWELL COUNTY HOSPITAL
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Covered Entity Details
Entity Name
CALDWELL COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH181322-00
Entity Address
100 MEDICAL CENTER DRIVE
PRINCETON, KY 42445
Medicare Provider Number
181322
Participating Start Date
10/1/2018
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
PDC, LLC
Pharmacy Address
PRINCETON DRUG STORE
103 W MAIN ST
PRINCETON, KY 42445
Pharmacy Comments
Contract Details
Approval Date
7/12/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Harold Daniel Odegaard, CEO
(270) 365-0321
Contract Pharmacy Representative
Princeton Drug
Rodney Whittington, Owner
(270) 365-5585
Signed By Date
7/12/2019
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