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RITE AID OF KENTUCKY, INC.
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
RITE AID OF KENTUCKY, INC.
Pharmacy Address
RITE AID #3559
1355 2ND STREET
HENDERSON, KY 42420
Pharmacy Comments
Contract Details
Approval Date
10/3/2014
Contract Begin Date
1/1/2015
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
BRUCE BEGLEY, CEO
(270) 827-7700
Contract Pharmacy Representative
Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217
Signed By Date
10/3/2014
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