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TENNESSEE CVS PHARMACY, L.L.C.
CHC24156-00 Rutherford County Primary Care, Inc.
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Covered Entity Details
Entity Name
Rutherford County Primary Care, Inc.
Subdivision Name
Primary Care & Hope Clinic
Type
HRSA-Funded Health Center
340B ID
CHC24156-00
Entity Address
1453 Hope Way
Murfreesboro, TN 37129-3140
Grant Number
H80CS24156
Participating Start Date
10/1/2012
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
TENNESSEE CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 02179
4058 FRANKLIN RD.
MURFREESBORO, TN 37128
Pharmacy Comments
Contract Details
Approval Date
7/9/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kevin Clement, Director of Pharmacy
(615) 893-9390 Ext: 181
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/9/2019
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