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DBA MEDICINE CABINET PHARMACY
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
DBA MEDICINE CABINET PHARMACY
Pharmacy Address
515 BROADWAY AVENUE
PAINTSVILLE, KY 41240
Pharmacy Comments
Contract Details
Approval Date
7/7/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2017
Ownership change
Contacts
Covered Entity Signing Official
JACK BLACKWELL, CFO
(606) 886-8511
Contract Pharmacy Representative
Medicine Cabinet Pharmacy
Steve Williams, President
(606) 789-4371
Signed By Date
7/7/2015
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