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KENTUCKY CVS PHARMACY, L.L.C.
CAH181327-00 MARSHALL COUNTY HOSPITAL
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Covered Entity Details
Entity Name
MARSHALL COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH181327-00
Entity Address
615 OLD SYMSONIA RD
BENTON, KY 42025
Medicare Provider Number
181327
Participating Start Date
7/1/2018
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
KENTUCKY CVS PHARMACY, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY # 10050
405 MAIN ST.
BENTON, KY 42025
Pharmacy Comments
Contract Details
Approval Date
5/3/2022
Contract Begin Date
5/3/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
David Fuqua, CEO
(270) 527-4850
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
5/3/2022
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