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DEBERRY DRUGS
CH046560 HARDIN COUNTY REGIONAL HEALTH CENTER
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Covered Entity Details
Entity Name
HARDIN COUNTY REGIONAL HEALTH CENTER
Subdivision Name
DBA LIfespan Health
Type
HRSA-Funded Health Center
340B ID
CH046560
Entity Address
765 FLORENCE ROAD
SAVANNAH, TN 38372
Grant Number
H80CS00180
Participating Start Date
7/1/2003
Last Recertification Date
2/26/2025
Pharmacy Details
Pharmacy Name
DEBERRY DRUGS
Pharmacy Address
834 MULBERRY AVE
SELMER, TN 38375
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
Y. T. McGinley, CEO
(731) 925-2300 Ext: 8968
Contract Pharmacy Representative
Deberry Drugs
Clint Smith, Manager
(731) 645-6100
Signed By Date
7/9/2019
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