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FOOD CITY PHARMACY #680
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
FOOD CITY PHARMACY #680
Pharmacy Address
4344 MAYNARDVILLE HWY
MAYNARDVILLE, TN 37807
Pharmacy Comments
Contract Details
Approval Date
4/5/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/2/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jeffrey W Howard, CFO
(865) 934-6708
Contract Pharmacy Representative
Food City
Connie Reed, Administrative Assistant
(276) 623-5100 Ext: 5738
Signed By Date
4/5/2017
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