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CLARK DRUGS
CH045207E CUMBERLAND FAMILY MEDICAL CENTER, INC.
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Covered Entity Details
Entity Name
CUMBERLAND FAMILY MEDICAL CENTER, INC.
Subdivision Name
Munfordville Medical Center
Type
HRSA-Funded Health Center
340B ID
CH045207E
Entity Address
600 Main St.
Munfordville, KY 42765
Grant Number
H80CS08218
Participating Start Date
4/1/2013
Last Recertification Date
2/23/2025
Pharmacy Details
Pharmacy Name
CLARK DRUGS
Pharmacy Address
CLARK DRUGS
500 MAIN ST
MUNFORDVILLE, KY 42765
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
Clark Drugs
Alan Flener, President
(270) 524-3669
Signed By Date
10/5/2023
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