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UK - BLUEGRASS CLINIC PHARMACY
HV00719 University of Kentucky Bluegrass Care Clinic
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Covered Entity Details
Entity Name
University of Kentucky Bluegrass Care Clinic
Subdivision Name
Division of Infectious Diseases
Type
Ryan White Part C
340B ID
HV00719
Entity Address
109 Kinkead Hall
Lexington, KY 40506
Grant Number
H76HA00719
Participating Start Date
4/1/2021
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
UK - BLUEGRASS CLINIC PHARMACY
Pharmacy Address
3101 BEAUMONT CENTRE CIR
LEXINGTON, KY 40513
Pharmacy Comments
Contract Details
Approval Date
8/13/2021
Contract Begin Date
8/13/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/9/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Alice C Thornton, Chief of Infectious Diseases
(859) 323-6719
Contract Pharmacy Representative
University of Kentucky
Dan Grantz, Senior Director, Ambulatory Pharmacy Services
(859) 323-6016
Signed By Date
8/13/2021
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