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TENNESSEE CVS PHARMACY, L.L.C.
CHC24149-02 Mercy Health Services, Inc.
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Covered Entity Details
Entity Name
Mercy Health Services, Inc.
Subdivision Name
Mercy Marshall County - 122 East Commerce Street
Type
HRSA-Funded Health Center
340B ID
CHC24149-02
Entity Address
122 E Commerce St
Lewisburg, TN 37091-3340
Grant Number
H80CS24149
Participating Start Date
10/1/2019
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
TENNESSEE CVS PHARMACY, L.L.C.
Pharmacy Address
CVS PHARMACY # 17426
1033 CROSSINGS BLVD
SPRING HILL, TN 37174
Pharmacy Comments
Contract Details
Approval Date
10/13/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rhonda Sizemore, CFO
(615) 790-0567 Ext: 206
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/13/2023
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