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BLUEGRASS DRUG CENTER
CAH181310-00 CARROLL COUNTY MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
CARROLL COUNTY MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH181310-00
Entity Address
309 11TH STREET
CARROLLTON, KY 41008
Medicare Provider Number
181310
Participating Start Date
10/1/2011
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
BLUEGRASS DRUG CENTER
Pharmacy Address
325 HWY. 42 EAST
BEDFORD, KY 40006
Pharmacy Comments
Contract Details
Approval Date
10/7/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/22/2022
Pharmacy closed
Contacts
Covered Entity Signing Official
Michael A. Kozar, CEO
(502) 732-3200
Contract Pharmacy Representative
Erik Grove, President
(502) 732-4331
Signed By Date
10/7/2014
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