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RITE AID OF TENNESSEE, INC.
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
RITE AID OF TENNESSEE, INC.
Pharmacy Address
RITE AID #3391
2710 MAYNARDVILLE HIGHWAY
MAYNARDSVILLE, TN 37807
Pharmacy Comments
Contract Details
Approval Date
4/12/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/14/2017
Ownership change
Contacts
Covered Entity Signing Official
Jeffrey W Howard, CFO
(865) 934-6708
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968
Signed By Date
4/12/2017
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