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ST. MATTHEWS SPECIALTY PHARMACY
CH0452070 CUMBERLAND FAMILY MEDICAL CENTER, INC.
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Covered Entity Details
Entity Name
CUMBERLAND FAMILY MEDICAL CENTER, INC.
Subdivision Name
CUMBERLAND FAMILY MEDICAL CENTER
Type
HRSA-Funded Health Center
340B ID
CH0452070
Entity Address
360 KEEN STREET
BURKESVILLE, KY 42717
Grant Number
H80CS08218
Participating Start Date
1/1/2008
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
ST. MATTHEWS SPECIALTY PHARMACY
Pharmacy Address
DBA ST. MATTHEWS SPECIALTY PHARMACY
200 N HURSTBOURNE PKWY STE 176
LOUISVILLE, KY 40222
Pharmacy Comments
Contract Details
Approval Date
4/12/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ryan Smith, CFO
(270) 858-6655
Contract Pharmacy Representative
St Matthews
Chad Downing, Director of 340B
(844) 552-9669
Signed By Date
4/12/2024
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