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WALGREEN CO.
CH041330 COMMUNITY HEALTH OF EAST TENNESSEE, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH OF EAST TENNESSEE, INC.
Subdivision Name
Community Health of East Tennessee
Type
HRSA-Funded Health Center
340B ID
CH041330
Entity Address
130 Independence Ln
La Follette, TN 37766-3031
Grant Number
H80CS00304
Participating Start Date
7/1/2006
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 06738
2109 JACKSBORO PIKE
LA FOLLETTE, TN 37766
Pharmacy Comments
Contract Details
Approval Date
7/8/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
TERESA W. DABNEY, CEO
(423) 563-1032
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/8/2013
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