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DIAMOND PHARMACY SERVICE
STD41669 Kentucky Cabinet for Health and Family Services
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Covered Entity Details
Entity Name
Kentucky Cabinet for Health and Family Services
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD41669
Entity Address
63 ky route 306
Bypro, KY 41612
Grant Number
NU51PS005175
Participating Start Date
1/1/2024
Last Recertification Date
5/14/2024
Pharmacy Details
Pharmacy Name
DIAMOND PHARMACY SERVICE
Pharmacy Address
DIAMOND PHARMACY SERVICES
645 KOLTER DRIVE
INDIANA, PA 15701
Pharmacy Comments
Contract Details
Approval Date
4/15/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Cookie Crews, Commissioner
(502) 225-6513
Contract Pharmacy Representative
Diamond Pharmacy
Matt Risko, Director Eastern Division
(800) 882-6337 Ext: 1050
Signed By Date
4/15/2024
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