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NPS PHARMACY AT POSITIVELY LIVING
RWII37404A Positively Living Inc.
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Covered Entity Details
Entity Name
Positively Living Inc.
Subdivision Name
Type
Ryan White Part B
340B ID
RWII37404A
Entity Address
1331 Union Ave
1240
Memphis, TN 38104
Grant Number
X07HA00024
Participating Start Date
1/1/2021
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
NPS PHARMACY AT POSITIVELY LIVING
Pharmacy Address
1925 AILOR AVE
KNOXVILLE, TN 37921
Pharmacy Comments
Contract Details
Approval Date
7/8/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2025
Ownership change
Contacts
Covered Entity Signing Official
Steve Jenkins, Chief Executive Officer
(865) 556-5217
Contract Pharmacy Representative
Nashville Pharmacy Services
Kevin Hartman, Chief Manager
(615) 371-1210 Ext: 311
Signed By Date
7/8/2021
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