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ST. MATTHEWS COMMUNITY PHARMACY
CAH181330-00 RUSSELL COUNTY HOSPITAL
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Covered Entity Details
Entity Name
RUSSELL COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH181330-00
Entity Address
153 DOWELL ROAD
RUSSELL SPRINGS, KY 42642
Medicare Provider Number
181330
Participating Start Date
7/1/2011
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
ST. MATTHEWS COMMUNITY PHARMACY
Pharmacy Address
3922 WILLIS AVENUE
LOUISVILLE, KY 40207
Pharmacy Comments
Contract Details
Approval Date
4/13/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/23/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Janie Landis, CFO
(270) 866-4753
Contract Pharmacy Representative
St Matthews Specialty Pharmacy
Jill Rhodes, Owner
(859) 552-3334
Signed By Date
4/13/2016
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