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ST MATTHEWS COMMUNITY PHARMACY
STD40219 NuLease Medical Solutions, LLC
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Covered Entity Details
Entity Name
NuLease Medical Solutions, LLC
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD40219
Entity Address
5722 Outer Loop
Louisville, KY 40219
Grant Number
NH25PS005135
Participating Start Date
4/1/2024
Last Recertification Date
5/7/2025
Pharmacy Details
Pharmacy Name
ST MATTHEWS COMMUNITY PHARMACY
Pharmacy Address
200 N HURSTBOURNE PKWY STE 174
LOUISVILLE, KY 40222
Pharmacy Comments
Contract Details
Approval Date
3/5/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Shannon Cales, Chief Executive Officer
(270) 465-1411
Contract Pharmacy Representative
St Matthews
Chad Downing, Director of 340B
(844) 552-9669
Signed By Date
3/5/2024
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