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CAREMARK KANSAS SPECIALTY PHARMACY
STD37403 CHATTANOOGA C.A.R.E.S. DBA CEMPA COMMUNITY CARE
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Covered Entity Details
Entity Name
CHATTANOOGA C.A.R.E.S. DBA CEMPA COMMUNITY CARE
Subdivision Name
CHATTANOOGA PRIMARY CARE CENTER
Type
Sexually Transmitted Diseases
340B ID
STD37403
Entity Address
1000 E. 3rd Street
Suite 300
Chattanooga, TN 37403
Grant Number
NU65PS923764
Participating Start Date
7/1/2016
Last Recertification Date
5/7/2025
Pharmacy Details
Pharmacy Name
CAREMARK KANSAS SPECIALTY PHARMACY
Pharmacy Address
CVS/SPECIALTY OR CARELONRX SPECIALTY PHA
11162 RENNER BLVD
LENEXA, KS 66219
Pharmacy Comments
Contract Details
Approval Date
10/14/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/31/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Shannon Stephenson, CEO
(423) 648-9911
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/14/2020
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