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KENTUCKY CVS PHARMACY, L.L.C.
CH04814T HEALTH FIRST BLUEGRASS
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Covered Entity Details
Entity Name
HEALTH FIRST BLUEGRASS
Subdivision Name
Tates Creek High School HealthFirst Bluegrass School Health Clinic
Type
HRSA-Funded Health Center
340B ID
CH04814T
Entity Address
1111 Centre Pkwy
Lexington, KY 40517-3208
Grant Number
H80CS28202
Participating Start Date
10/1/2022
Last Recertification Date
3/6/2025
Pharmacy Details
Pharmacy Name
KENTUCKY CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 02332
101 WEST SHOWALTER DRIVE
GEORGETOWN, KY 40324
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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