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THE PRESCRIPTION SHOP
CH04656K Hardin County Regional Health Center
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Covered Entity Details
Entity Name
Hardin County Regional Health Center
Subdivision Name
Lifespan Selmer
Type
HRSA-Funded Health Center
340B ID
CH04656K
Entity Address
181 S Y Square
Selmer, TN 38375
Grant Number
H80CS00180
Participating Start Date
1/1/2020
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
THE PRESCRIPTION SHOP
Pharmacy Address
765 FLORENCE RD
STE B
SAVANNAH, TN 38372-5219
Pharmacy Comments
Contract Details
Approval Date
3/3/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Y. T. McGinley, CEO
(731) 925-2300 Ext: 8968
Contract Pharmacy Representative
The Prescription Shop
BO HIGGINBOTTOM, OWNER
(731) 925-3956
Signed By Date
3/3/2023
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