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WAL-MART PHARMACY 10-0665
CH045207GK Cumberland Family Medical Center, Inc.
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Covered Entity Details
Entity Name
Cumberland Family Medical Center, Inc.
Subdivision Name
Taylor County Middle Healthy Kids Clinic
Type
HRSA-Funded Health Center
340B ID
CH045207GK
Entity Address
300 Ingram Ave
Campbellsville, KY 42718-1625
Grant Number
H80CS08218
Participating Start Date
1/1/2023
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0665
Pharmacy Address
725 CAMPBELLSVILLE BYPASS
CAMPBELLSVILLE, KY 42718
Pharmacy Comments
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
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
10/5/2023
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