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PREFERRED PHARMACY INC
CH04123D OCOEE REGIONAL HEALTH CORPORATION
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Covered Entity Details
Entity Name
OCOEE REGIONAL HEALTH CORPORATION
Subdivision Name
GRUNDY COUNTY PRIMARY CARE CENTER
Type
HRSA-Funded Health Center
340B ID
CH04123D
Entity Address
10120 SR 56
Coalmont, TN 37313-2505
Grant Number
H80CS00762
Participating Start Date
7/1/2015
Last Recertification Date
2/28/2025
Pharmacy Details
Pharmacy Name
PREFERRED PHARMACY INC
Pharmacy Address
6206 HIGHWAY 411
PO BOX 269
BENTON, TN 37307
Pharmacy Comments
Contract Details
Approval Date
6/5/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/19/2021
Agreement registered in error
Contacts
Covered Entity Signing Official
BILL MOATS, CEO
(423) 338-8995 Ext: 1212
Contract Pharmacy Representative
Chris Patterson, Owner
(423) 338-5095
Signed By Date
6/5/2015
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