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CARTER FAMILY PHARMACY
DSH180018 ST CLAIRE MEDICAL CENTER INC
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Covered Entity Details
Entity Name
ST CLAIRE MEDICAL CENTER INC
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH180018
Entity Address
222 MEDICAL CIRCLE
MOREHEAD, KY 40351
Medicare Provider Number
180018
Participating Start Date
1/1/2005
Last Recertification Date
8/29/2024
Pharmacy Details
Pharmacy Name
CARTER FAMILY PHARMACY
Pharmacy Address
136 JESSICA LANE
SUITE E
OLIVE HILL, KY 41164
Pharmacy Comments
Contract Details
Approval Date
4/13/2012
Contract Begin Date
4/15/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/16/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
G.R. JONES, VP FINANCIAL SERVICES/CFO
(606) 783-6508
Contract Pharmacy Representative
Mason Kash, PIC
(606) 674-6334
Signed By Date
4/5/2012
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