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MCS PHARMACEUTICS, LLC
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
MCS PHARMACEUTICS, LLC
Pharmacy Address
DBA CADIZ PHARMACY
435 LAKOTA DR
CADIZ, KY 42211-7970
Pharmacy Comments
Contract Details
Approval Date
1/16/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Alisa Coleman, CEO
(270) 522-3215 Ext: 114
Contract Pharmacy Representative
James Ashby, Pharmacist In Charge
(270) 522-3441
Signed By Date
1/16/2014
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