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DUNAWAYS IMPERIAL PHARMACY
DSH180056 Deaconess Henderson Hospital
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Covered Entity Details
Entity Name
Deaconess Henderson Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH180056
Entity Address
1305 NORTH ELM STREET
HENDERSON, KY 42420
Medicare Provider Number
180056
Participating Start Date
1/1/2009
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
DUNAWAYS IMPERIAL PHARMACY
Pharmacy Address
DUNAWAYS IMPERIAL PHARMACY
110 THIRD ST.
SUITE 240
HENDERSON, KY 42420-4242
Pharmacy Comments
10/27/2010 - ADDED SUITE # TO ADDRESS
Contract Details
Approval Date
4/15/2010
Contract Begin Date
4/15/2010
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/31/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Brent Eric Bridges, Director of Pharmacy
(270) 827-7168
Contract Pharmacy Representative
WILLIAM FARMER, VICE PRESIDENT
(270) 826-6565
Signed By Date
4/8/2010
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