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TROY 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
TROY PHARMACY
Pharmacy Address
404 E HARPER ST
PO BOX 215
TROY, TN 38260-5946
Pharmacy Comments
Contract Details
Approval Date
1/10/2023
Contract Begin Date
1/23/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
GAYANNE WILLIAMS, EXECUTIVE DIRECTOR
(731) 253-6690
Contract Pharmacy Representative
Troy Pharmacy
Kristi H Totty, Pharmacist-in-charge
(731) 536-4848
Signed By Date
1/10/2023
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