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KENTUCKY CVS PHARMACY, L.L.C.
STD01062 Transhealth, Inc.
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Covered Entity Details
Entity Name
Transhealth, Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD01062
Entity Address
10 Main Street
3rd Floor
Florence, MA 01062
Grant Number
NH25PS005167
Participating Start Date
11/7/2022
Last Recertification Date
5/20/2025
Pharmacy Details
Pharmacy Name
KENTUCKY CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 06264
3311 HIGHWAY 54
OWENSBORO, KY 42303
Pharmacy Comments
Contract Details
Approval Date
5/5/2023
Contract Begin Date
5/5/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/11/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Dallas Michelle Ducar, CEO and President
(413) 341-9400
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
5/5/2023
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