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CAYCE'S PHARMACY INC
DSH180051 JENNIE STUART MEDICAL CENTER
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Covered Entity Details
Entity Name
JENNIE STUART MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH180051
Entity Address
320 WEST 18TH STREET
HOPKINSVILLE, KY 42240
Medicare Provider Number
180051
Participating Start Date
9/2/2008
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
CAYCE'S PHARMACY INC
Pharmacy Address
CAYCE'S PHARMACY, INC
1112 WEST SEVENTH STREET
P.O. BOX 4022
HOPKINSVILLE, KY 42241-4022
Pharmacy Comments
Contract Details
Approval Date
10/11/2012
Contract Begin Date
10/11/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/4/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Eric Lee, CEO
(270) 887-0240
Contract Pharmacy Representative
Mike Cayce, Owner/President
(270) 885-1220
Signed By Date
9/17/2012
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