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SAVE ON DRUGS
CAH181304-00 Trigg County Hospital, Inc.
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Covered Entity Details
Entity Name
Trigg County Hospital, Inc.
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH181304-00
Entity Address
254 Main Street
Cadiz, KY 42211
Medicare Provider Number
181304
Participating Start Date
1/1/2012
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
SAVE ON DRUGS
Pharmacy Address
266 EAST MAIN STREET
PO BOX 390
CADIZ, KY 42211-0390
Pharmacy Comments
Contract Details
Approval Date
11/5/2012
Contract Begin Date
11/5/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/16/2015
Pharmacy closed
Contacts
Covered Entity Signing Official
Alisa Coleman, CEO
(270) 522-3215 Ext: 114
Contract Pharmacy Representative
Ricky Clements, owner
(270) 522-3211
Signed By Date
9/27/2012
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