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CAREMARK, L.L.C.
CAH181319-00 BRECKINRIDGE HEALTH, INC.
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Covered Entity Details
Entity Name
BRECKINRIDGE HEALTH, INC.
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH181319-00
Entity Address
1011 OLD HIGHWAY 60
HARDINSBURG, KY 40143
Medicare Provider Number
181319
Participating Start Date
7/1/2011
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
CAREMARK, L.L.C.
Pharmacy Address
DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
7251 S. EASTERN AVE.
LAS VEGAS, NV 89119
Pharmacy Comments
Contract Details
Approval Date
1/16/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Amy Arndell, Chief Financial Officer
(270) 756-6655
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/16/2024
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