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WEST TOWNE PHARMACY
DSH440063 JOHNSON CITY MEDICAL CENTER
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Covered Entity Details
Entity Name
JOHNSON CITY MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH440063
Entity Address
400 N. STATE OF FRANKLIN RD.
JOHNSON CITY, TN 37604-6094
Medicare Provider Number
440063
Participating Start Date
7/1/2005
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
WEST TOWNE PHARMACY
Pharmacy Address
1619 WEST MARKET STREET
JOHNSON CITY, TN 37604
Pharmacy Comments
Contract Details
Approval Date
10/23/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Shane Hilton, VP/CFO - Market Operations
(423) 302-3467
Contract Pharmacy Representative
R&J Drug Company
Julie Kirkham, Owner/President
(423) 926-9137
Signed By Date
10/23/2018
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