Contract Pharmacy Details

WALGREEN CO.
CH045207FE CUMBERLAND FAMILY MEDICAL CENTER, INC.

Covered Entity Details

Entity Name

CUMBERLAND FAMILY MEDICAL CENTER, INC.

Subdivision Name

Danville Internal Medicine

Type

HRSA-Funded Health Center

340B ID

CH045207FE

Entity Address

478 Whirlaway Dr Ste 200
Danville, KY 40422-9037

Grant Number

H80CS08218

Participating Start Date

6/8/2020

Last Recertification Date

2/18/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

WALGREENS #17145
1261 US HIGHWAY 27 N
STANFORD, KY 40484

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

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

10/5/2023

340B Drug Pricing Program Database