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FRED'S PHARMACY
CHC24109-00 HOPE FAMILY HEALTH SERVICES
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Covered Entity Details
Entity Name
HOPE FAMILY HEALTH SERVICES
Subdivision Name
HOPE Family Health - Westmoreland
Type
HRSA-Funded Health Center
340B ID
CHC24109-00
Entity Address
1124 New Hwy 52 E
Westmoreland, TN 37186-5062
Grant Number
H80CS24109
Participating Start Date
10/1/2014
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
FRED'S PHARMACY
Pharmacy Address
1109 SCOTTSVILLE RD
LAFAYETTE, TN 37083
Pharmacy Comments
Contract Details
Approval Date
7/15/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/10/2018
Pharmacy closed
Contacts
Covered Entity Signing Official
Richard Cox, Director of Pharmacy Services
(615) 644-0495
Contract Pharmacy Representative
Fred's Pharmacy
Nicole Pearson, 340B Program Manager
(901) 500-6153
Signed By Date
7/15/2018
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