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GAMALIEL DRUG LLC
CH045207N CUMBERLAND FAMILY MEDICAL CENTER, INC.
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Covered Entity Details
Entity Name
CUMBERLAND FAMILY MEDICAL CENTER, INC.
Subdivision Name
Monroe Family Medical Center
Type
HRSA-Funded Health Center
340B ID
CH045207N
Entity Address
1515 Edmonton Rd
Tompkinsville, KY 42167
Grant Number
H80CS08218
Participating Start Date
10/1/2013
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
GAMALIEL DRUG LLC
Pharmacy Address
405 W MAIN ST
GAMALIEL, KY 42140-8906
Pharmacy Comments
Contract Details
Approval Date
1/15/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
ERIC E. LOY, CEO
(270) 864-2889
Contract Pharmacy Representative
Gamaliel Drug
Caitlin M. Brown, Pharmacist/Owner
(270) 457-4100
Signed By Date
1/15/2015
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