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VISE'S DISCOUNT PHARMACY
CH04137B Perry County Medical Center Inc
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Covered Entity Details
Entity Name
Perry County Medical Center Inc
Subdivision Name
Three Rivers Community Health-Dental
Type
HRSA-Funded Health Center
340B ID
CH04137B
Entity Address
7723 Clearview Church Ln Ste 200
Lyles, TN 37098-1674
Grant Number
H80CS00346
Participating Start Date
1/1/2022
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
VISE'S DISCOUNT PHARMACY
Pharmacy Address
179 TENNESSEE AVE N
PARSONS, TN 38363
Pharmacy Comments
Contract Details
Approval Date
3/3/2023
Contract Begin Date
3/6/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
PHILLIP TATUM, CEO
(931) 589-2104
Contract Pharmacy Representative
Vise's Pharmacy
Ronnie Vise, Owner
(731) 847-3784
Signed By Date
3/3/2023
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