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KENTUCKY CVS PHARMACY, L.L.C.
CHC24109-00 HOPE FAMILY HEALTH SERVICES
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Covered Entity Details
Entity Name
HOPE FAMILY HEALTH SERVICES
Subdivision Name
HOPE Family Health - Westmoreland
Type
HRSA-Funded Health Center
340B ID
CHC24109-00
Entity Address
1124 New Hwy 52 E
Westmoreland, TN 37186-5062
Grant Number
H80CS24109
Participating Start Date
10/1/2014
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
KENTUCKY CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 06423
1122 LOVERS LANE
BOWLING GREEN, KY 42103
Pharmacy Comments
Contract Details
Approval Date
4/4/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Richard Cox, Director of Pharmacy Services
(615) 644-0495
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/4/2022
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