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NPS PHARMACY DIRECT
HV420021 LivWell Community Health Services, Inc.
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Covered Entity Details
Entity Name
LivWell Community Health Services, Inc.
Subdivision Name
Type
Ryan White Part C
340B ID
HV420021
Entity Address
1903 Broadway Street
PADUCAH, KY 42001
Grant Number
H76HA00208
Participating Start Date
10/1/1998
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
NPS PHARMACY DIRECT
Pharmacy Address
442 METROPLEX DR
STE 401
NASHVILLE, TN 37211
Pharmacy Comments
Contract Details
Approval Date
4/2/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Donna Reeder, Executive Director
(270) 444-8183 Ext: 2107
Contract Pharmacy Representative
NPS
John Winnett, Chief Strategy Officer
(615) 831-2291 Ext: 301
Signed By Date
4/2/2024
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