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WAL-MART PHARMACY 10-1318
CH0413090 Cherokee Health Systems
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Covered Entity Details
Entity Name
Cherokee Health Systems
Subdivision Name
CHS Talbott Clinic
Type
HRSA-Funded Health Center
340B ID
CH0413090
Entity Address
6350 W Andrew Johnson Hwy
Talbott, TN 37877
Grant Number
H80CS00309
Participating Start Date
7/1/2005
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1318
Pharmacy Address
6777 CLINTON HWY
KNOXVILLE (NW), TN 37912
Pharmacy Comments
Contract Details
Approval Date
4/15/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Joel Hornberger, CSO
(865) 544-0406
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
4/15/2014
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