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KENTUCKY CVS PHARMACY, L.L.C.
SCH180038-00 OWENSBORO HEALTH INC
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Covered Entity Details
Entity Name
OWENSBORO HEALTH INC
Subdivision Name
OWENSBORO HEALTH REGIONAL HOSPITAL
Type
Sole Community Hospital
340B ID
SCH180038-00
Entity Address
1201 Pleasant Valley Road
OWENSBORO, KY 42303
Medicare Provider Number
180038
Participating Start Date
8/5/2010
Last Recertification Date
9/14/2022
Entity Termination Date
10/1/2023
Pharmacy Details
Pharmacy Name
KENTUCKY CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 06264
3311 HIGHWAY 54
OWENSBORO, KY 42303
Pharmacy Comments
Contract Details
Approval Date
1/16/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/30/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
JOHN HACKBARTH, SENIOR VP & CFO
(270) 417-4813
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/16/2017
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