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TELLICO FAMILY WELLNESS CTR.
CH0442510 CHOTA COMMUNITY HEALTH SERVICES
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Covered Entity Details
Entity Name
CHOTA COMMUNITY HEALTH SERVICES
Subdivision Name
CHOTA COMMUNITY HEALTH SERVICES
Type
HRSA-Funded Health Center
340B ID
CH0442510
Entity Address
1206 US Highway 411
VONORE, TN 37885
Grant Number
H80CS06461
Participating Start Date
10/20/2005
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
TELLICO FAMILY WELLNESS CTR.
Pharmacy Address
707 VETERANS MEMORIAL DR
TELLICO PLAINS, TN 37385-4844
Pharmacy Comments
Contract Details
Approval Date
12/21/2012
Contract Begin Date
1/1/2013
Carve-In Effective Date
Contract Comments
10/17/2013 Contract arrangements reinstated. Entity terminated in error, refer to CE record for details.
Contacts
Covered Entity Signing Official
Puspa Das, Chief Executive Officer
(423) 442-7268 Ext: 3157
Contract Pharmacy Representative
Tellico Family Wellness
JASON C. MILLER, PHARMACIST/OWNER
(423) 253-6003
Signed By Date
10/15/2012
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