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TENNESSEE CVS PHARMACY, L.L.C.
CH04681B RURAL MEDICAL SERVICES, INC.
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Covered Entity Details
Entity Name
RURAL MEDICAL SERVICES, INC.
Subdivision Name
Rural Medical Services Inc. Cosby Center
Type
HRSA-Funded Health Center
340B ID
CH04681B
Entity Address
103 Wilton Springs Rd.
Newport, TN 37821
Grant Number
H80CS00406
Participating Start Date
7/1/2002
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
TENNESSEE CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 07246
346 COSBY HIGHWAY
NEWPORT, TN 37821
Pharmacy Comments
Contract Details
Approval Date
7/15/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
George E Barton, CEO
(423) 613-3300
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/15/2022
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