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KIZER PHARMACY
CHC00333-00 CITIZENS OF LAKE COUNTY FOR HEALTH CARE
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Covered Entity Details
Entity Name
CITIZENS OF LAKE COUNTY FOR HEALTH CARE
Subdivision Name
Lake County Primary Care Clinic
Type
HRSA-Funded Health Center
340B ID
CHC00333-00
Entity Address
710 Carl Perkins Parkway
TIPTONVILLE, TN 38079
Grant Number
H80CS00333
Participating Start Date
10/1/2010
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
KIZER PHARMACY
Pharmacy Address
1117 S MILES AVE
STE 1
UNION CITY, TN 38261-5439
Pharmacy Comments
Contract Details
Approval Date
10/13/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
GAYANNE WILLIAMS, EXECUTIVE DIRECTOR
(731) 253-6690
Contract Pharmacy Representative
Kizer Pharmacy
Jason Kizer, Owner
(731) 885-2226
Signed By Date
10/13/2022
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