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SAVE-RITE DRUGS INC
CAH181319-01 BRECKINRIDGE HEALTH, INC.
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Covered Entity Details
Entity Name
BRECKINRIDGE HEALTH, INC.
Subdivision Name
CLOVERPORT HEALTH CLINIC
Type
Critical Access Hospital
340B ID
CAH181319-01
Entity Address
209 ELM STREET
CLOVERPORT, KY 40111
Medicare Provider Number
181319
Outpatient Facility Provider Number
183412
Participating Start Date
7/1/2011
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
SAVE-RITE DRUGS INC
Pharmacy Address
14020 E HIGHWAY 60
IRVINGTON, KY 40146-7166
Pharmacy Comments
Contract Details
Approval Date
7/16/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ROBERT HARALSON, CFO
(270) 756-6655
Contract Pharmacy Representative
Gabe Van Lahr, Owner
(270) 547-2855
Signed By Date
7/16/2013
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