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CLAY COMMUNITY PHARMACY, LLC
DSH180043 AdventHealth Manchester
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Covered Entity Details
Entity Name
AdventHealth Manchester
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH180043
Entity Address
210 MARIE LANGDON DRIVE
MANCHESTER, KY 40962
Medicare Provider Number
180043
Participating Start Date
10/1/2017
Last Recertification Date
9/5/2024
Pharmacy Details
Pharmacy Name
CLAY COMMUNITY PHARMACY, LLC
Pharmacy Address
118 CLAY CO SHOPPING CTR
MANCHESTER, KY 40962
Pharmacy Comments
Contract Details
Approval Date
1/16/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2018
Ownership change
Contacts
Covered Entity Signing Official
STEVEN MILLER, VP FINANCE/CFO
(606) 598-1035
Contract Pharmacy Representative
Clay Community Pharmacy
Robert Cruse, Manager
(502) 477-1973
Signed By Date
1/16/2018
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