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BROADWAY & MAIN PHARMACY
CH04681C RURAL MEDICAL SERVICES, INC.
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Covered Entity Details
Entity Name
RURAL MEDICAL SERVICES, INC.
Subdivision Name
GRASSY FORK CENTER
Type
HRSA-Funded Health Center
340B ID
CH04681C
Entity Address
4261 Big Creek Rd
Hartford, TN 37753-2220
Grant Number
H80CS00406
Participating Start Date
7/1/2002
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
BROADWAY & MAIN PHARMACY
Pharmacy Address
136 E. BROADWAY
NEWPORT, TN 37821
Pharmacy Comments
Contract Details
Approval Date
3/9/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
George E Barton, CEO
(423) 613-3300
Contract Pharmacy Representative
Broadway and Main
Justin Kickliter, Owner
(423) 720-9777
Signed By Date
3/9/2023
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