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VALUE RX SNEEDVILLE LLC. #4
CH041279J RURAL HEALTH SERVICES CONSORTIUM, INC.
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Covered Entity Details
Entity Name
RURAL HEALTH SERVICES CONSORTIUM, INC.
Subdivision Name
KINGSPORT MEDICAL CENTER
Type
HRSA-Funded Health Center
340B ID
CH041279J
Entity Address
737 E Sevier Ave
Kingsport, TN 37660-4912
Grant Number
H80CS00421
Participating Start Date
12/1/1992
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
VALUE RX SNEEDVILLE LLC. #4
Pharmacy Address
1400 MAIN ST.
SNEEDVILLE, TN 37869
Pharmacy Comments
Contract Details
Approval Date
5/3/2023
Contract Begin Date
5/4/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
LINDA W. BUCK, CHIEF EXECUTIVE OFFICER
(423) 272-9163 Ext: 8901
Contract Pharmacy Representative
Value Rx Pharmacy
Vickie Rowe, Owner
(423) 724-8130
Signed By Date
5/3/2023
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