Contract Pharmacy Details

DYER DRUG
CH0452070 CUMBERLAND FAMILY MEDICAL CENTER, INC.

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

DYER DRUG

Pharmacy Address

100 E CUMBERLAND ST
ALBANY, KY 42602

Pharmacy Comments

Contract Details

Approval Date

7/15/2016

Contract Begin Date

10/1/2016

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/30/2019
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

ERIC E. LOY, CEO
(270) 864-2889

Contract Pharmacy Representative

ARICA COLLINS, OWNER
(606) 387-6444

Signed By Date

7/15/2016

340B Drug Pricing Program Database