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KROGER PHARMACY L-369
CH045207GH Cumberland Family Medical Center, Inc.
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Covered Entity Details
Entity Name
Cumberland Family Medical Center, Inc.
Subdivision Name
Taylor County High Healthy Kids Clinic
Type
HRSA-Funded Health Center
340B ID
CH045207GH
Entity Address
2705 Hodgenville Rd
Campbellsville, KY 42718-9493
Grant Number
H80CS08218
Participating Start Date
1/1/2023
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
KROGER PHARMACY L-369
Pharmacy Address
399 CAMPBELLSVILLE BYPASS STE 100
CAMPBELLSVILLE, KY 42718
Pharmacy Comments
12/13/2011 updated address (was US 68 and Highway 210)
Contract Details
Approval Date
10/5/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ryan Smith, CFO
(270) 858-6655
Contract Pharmacy Representative
Kroger Health
Eva Brumfield, Strategic Program Director
(651) 357-2109
Signed By Date
10/5/2023
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