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DELIVERCARERX PHARMACY LLC
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
DELIVERCARERX PHARMACY LLC
Pharmacy Address
DELIVERCARERX PHARMACY LLC
1471 E BUSINESS CENTER DR
STE 200
MT PROSPECT, IL 60056
Pharmacy Comments
Contract Details
Approval Date
10/14/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/14/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Y. T. McGinley, CEO
(731) 925-2300 Ext: 8968
Contract Pharmacy Representative
Agape
Dave Krishna, CEO
(847) 965-1600
Signed By Date
10/14/2016
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