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KENTUCKY CVS PHARMACY, L.L.C.
CH04814P HEALTHFIRST BLUEGRASS, INC.
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Covered Entity Details
Entity Name
HEALTHFIRST BLUEGRASS, INC.
Subdivision Name
HealthFirst Bluegrass Goodwin
Type
HRSA-Funded Health Center
340B ID
CH04814P
Entity Address
1060 Goodwin Drive, STE 110.
Lexington, KY 40505-3824
Grant Number
H80CS28202
Participating Start Date
1/1/2019
Last Recertification Date
3/6/2025
Pharmacy Details
Pharmacy Name
KENTUCKY CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 07618
3605 WALDEN DRIVE
LEXINGTON, KY 40517
Pharmacy Comments
Contract Details
Approval Date
1/9/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Wayne Linscott, CEO
(859) 270-0192
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/9/2023
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