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CITY DRUG STORE INC
CH045190 HARDEMAN COUNTY COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
HARDEMAN COUNTY COMMUNITY HEALTH CENTER
Subdivision Name
HARDEMAN COUNTY COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH045190
Entity Address
629 Nuckolls Rd
Bolivar, TN 38008-1599
Grant Number
H80CS00530
Participating Start Date
7/1/2001
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
CITY DRUG STORE INC
Pharmacy Address
118 E MAIN ST
BOX 224
HENDERSON, TN 38340-2335
Pharmacy Comments
Contract Details
Approval Date
3/24/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MARY HEINZEN, CEO
(731) 659-3114
Contract Pharmacy Representative
Michael Haithcoat, Owner
(731) 989-7884
Signed By Date
3/24/2017
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