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MD PHARMACY STORE 3
CH04681A RURAL MEDICAL SERVICES, INC.
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Covered Entity Details
Entity Name
RURAL MEDICAL SERVICES, INC.
Subdivision Name
PARROTTSVILLE CENTER
Type
HRSA-Funded Health Center
340B ID
CH04681A
Entity Address
111 Mockingbird Ave
Parrottsville, TN 37843-2741
Grant Number
H80CS00406
Participating Start Date
12/1/1992
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
MD PHARMACY STORE 3
Pharmacy Address
702 W HWY 25 70
NEWPORT, TN 37821
Pharmacy Comments
Contract Details
Approval Date
4/10/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/30/2020
Ownership change
Contacts
Covered Entity Signing Official
LARRY STANIFER, CEO
(423) 613-3300
Contract Pharmacy Representative
MD Pharmacy
Christina Clvenger, Manager
(423) 720-9777
Signed By Date
4/10/2019
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