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CLINIC PHARMACY
DSH180079 HARRISON MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
HARRISON MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH180079
Entity Address
1210 KY HIGHWAY 36 E
CYNTHIANA, KY 41031
Medicare Provider Number
180079
Participating Start Date
9/9/2005
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
CLINIC PHARMACY
Pharmacy Address
1210 KY HIGHWAY 36 E STE G6
CYNTHIANA, KY 41031-7493
Pharmacy Comments
Contract Details
Approval Date
3/27/2012
Contract Begin Date
3/27/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/1/2023
Ownership change
Contacts
Covered Entity Signing Official
JIM SPEARS, CFO
(859) 235-3502
Contract Pharmacy Representative
Larry Wiley, Owner
(859) 234-2777
Signed By Date
3/8/2012
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