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ST MATTHEWS COMMUNITY PHARMACY
STD427181 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
STD427181
Entity Address
1327 E Broadway St
Suite B
Campbellsville, KY 42718
Grant Number
NH25PS005135
Participating Start Date
4/1/2025
Last Recertification Date
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
3/4/2025
Contract Begin Date
4/1/2025
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 Dowing, Director of 340B
(844) 552-9669
Signed By Date
3/3/2025
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