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VONORE DRUG FAMILY WELLNESS CENTER, INC.
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
VONORE DRUG FAMILY WELLNESS CENTER, INC.
Pharmacy Address
1121 HIGHWAY 411
VONORE, TN 37885
Pharmacy Comments
Contract Details
Approval Date
7/31/2013
Contract Begin Date
7/31/2013
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
Laura Harris, CEO
(423) 442-7268
Contract Pharmacy Representative
Vonore Drugs
Kristi Miller, Owner
(423) 884-6274
Signed By Date
7/24/2013
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