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PDC, LLC
CAH181320-00 Livingston Hospital and Healthcare Services, Inc.
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Covered Entity Details
Entity Name
Livingston Hospital and Healthcare Services, Inc.
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH181320-00
Entity Address
131 Hospital Drive
Salem, KY 42078
Medicare Provider Number
181320
Participating Start Date
7/1/2014
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
PDC, LLC
Pharmacy Address
PRINCETON DRUG STORE
103 W MAIN ST
PRINCETON, KY 42445
Pharmacy Comments
Contract Details
Approval Date
1/11/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Elizabeth A Snodgrass, CEO
(270) 988-7235
Contract Pharmacy Representative
Princeton Drug Store
JIm Tucker, owner
(270) 365-5585
Signed By Date
1/11/2018
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