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BROADWAY & MAIN PHARMACY
CH04681E RURAL MEDICAL SERVICES, INC.
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Covered Entity Details
Entity Name
RURAL MEDICAL SERVICES, INC.
Subdivision Name
Chestnut Hill Center
Type
HRSA-Funded Health Center
340B ID
CH04681E
Entity Address
3222 Chestnut Hill School Rd
Dandridge, TN 37725-7238
Grant Number
H80CS00406
Participating Start Date
7/1/2002
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
BROADWAY & MAIN PHARMACY
Pharmacy Address
136 E. BROADWAY
NEWPORT, TN 37821
Pharmacy Comments
Contract Details
Approval Date
10/12/2020
Contract Begin Date
11/24/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kelly Melear-Hough, COO/Interim Co-CEO
(423) 613-3311
Contract Pharmacy Representative
Broadway & Main Pharmacy
Justin Kickliter, Owner
(423) 720-9777
Signed By Date
10/12/2020
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