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KENTUCKY CENTRAL FILL FACILITY, L-010
CHC26595-00 PENNYROYAL HEALTHCARE SERVICES INC.
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Covered Entity Details
Entity Name
PENNYROYAL HEALTHCARE SERVICES INC.
Subdivision Name
Community Medical Clinic, Princeton
Type
HRSA-Funded Health Center
340B ID
CHC26595-00
Entity Address
1022 W, Main St.
PRINCETON, KY 42445-1622
Grant Number
H80CS26595
Participating Start Date
7/1/2014
Last Recertification Date
2/11/2025
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
7/9/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/9/2022
Pharmacy closed
Contacts
Covered Entity Signing Official
Kecia Fulcher, CEO
(270) 365-0227
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
7/9/2020
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