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CAREMARK TENNESSEE SPECIALTY PHARMACY, L
CHC24172-00 CHRIST COMMUNITY HEALTH SERVICES AUGUSTA, INC.
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Covered Entity Details
Entity Name
CHRIST COMMUNITY HEALTH SERVICES AUGUSTA, INC.
Subdivision Name
Christ Community Health: Medical District CHC
Type
HRSA-Funded Health Center
340B ID
CHC24172-00
Entity Address
1226 Dantignac St
Augusta, GA 30901-2788
Grant Number
H80CS24172
Participating Start Date
7/1/2013
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
CAREMARK TENNESSEE SPECIALTY PHARMACY, L
Pharmacy Address
DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
8370 WOLF LAKE DR
STE 107
BARTLETT, TN 38133
Pharmacy Comments
Contract Details
Approval Date
10/15/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jacob Bostwick, Director of Finance
(706) 922-0600 Ext: 320
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/15/2021
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