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CERTACARE INC
CH045207A CUMBERLAND FAMILY MEDICAL CENTER, INC.
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Covered Entity Details
Entity Name
CUMBERLAND FAMILY MEDICAL CENTER, INC.
Subdivision Name
Adair Family Medical Center
Type
HRSA-Funded Health Center
340B ID
CH045207A
Entity Address
937 Campbellsville Rd
Columbia, KY 42728
Grant Number
H80CS08218
Participating Start Date
7/1/2008
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
CERTACARE INC
Pharmacy Address
937 CAMPBELLSVILLE ROAD
SUITE 907
COLUMBIA, KY 42728
Pharmacy Comments
Contract Details
Approval Date
3/18/2011
Contract Begin Date
4/1/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
3/15/2011
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