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TENNESSEE CVS PHARMACY, L.L.C.
CH044251A CHOTA COMMUNITY HEALTH SERVICES
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Covered Entity Details
Entity Name
CHOTA COMMUNITY HEALTH SERVICES
Subdivision Name
Chota Community Health Services
Type
HRSA-Funded Health Center
340B ID
CH044251A
Entity Address
4798 New Highway 68
Madisonville, TN 37354
Grant Number
H80CS06461
Participating Start Date
1/1/2013
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
TENNESSEE CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 07685
9170 HWY 68
TELLICO PLAINS, TN 37385
Pharmacy Comments
Contract Details
Approval Date
3/10/2023
Contract Begin Date
3/10/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Laura Harris, CEO
(423) 442-7268
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
3/10/2023
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