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TENNESSEE CVS PHARMACY, L.L.C.
RRC440073-00 Maury Regional Hospital
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Covered Entity Details
Entity Name
Maury Regional Hospital
Subdivision Name
Type
Rural Referral Center
340B ID
RRC440073-00
Entity Address
1224 Trotwood Ave
Columbia, TN 38401
Medicare Provider Number
440073
Participating Start Date
7/1/2013
Last Recertification Date
8/31/2021
Entity Termination Date
10/1/2022
Pharmacy Details
Pharmacy Name
TENNESSEE CVS PHARMACY, L.L.C.
Pharmacy Address
CVS PHARMACY # 17426
1033 CROSSINGS BLVD
SPRING HILL, TN 37174
Pharmacy Comments
Contract Details
Approval Date
11/30/2020
Contract Begin Date
12/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Deborah Lumpkins, Sr. VP/CNO
(931) 490-7118
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
11/30/2020
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