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LESLIE PHARMACY INC
DSH180005 HIGHLANDS ARH REGIONAL MEDICAL CENTER
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Covered Entity Details
Entity Name
HIGHLANDS ARH REGIONAL MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH180005
Entity Address
5000 KY RT 321
PRESTONSBURG, KY 41653
Medicare Provider Number
180005
Participating Start Date
9/9/2005
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
LESLIE PHARMACY INC
Pharmacy Address
DBA ARCHER CLINIC PHARMACY
400 UNIVERSITY DRIVE
STE 100
PRESTONSBURG, KY 41653
Pharmacy Comments
Contract Details
Approval Date
1/12/2012
Contract Begin Date
1/12/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/15/2019
Ownership change
Contacts
Covered Entity Signing Official
Bud Warman, CEO
(606) 886-8511
Contract Pharmacy Representative
Teresa Leslie, Owner
(606) 886-1202
Signed By Date
1/4/2012
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