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CVS TN DISTRIBUTION, LLC
DSH010019 HH Health System Shoals - LLC dba HELEN KELLER HOSPITAL
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Covered Entity Details
Entity Name
HH Health System Shoals - LLC dba HELEN KELLER HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH010019
Entity Address
1300 S. MONTGOMERY AVE.
SHEFFIELD, AL 35660
Medicare Provider Number
010019
Participating Start Date
4/1/2007
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
CVS TN DISTRIBUTION, LLC
Pharmacy Address
10017 KINGSTON PIKE
KNOXVILLE, TN 37922
Pharmacy Comments
Contract Details
Approval Date
10/23/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/3/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
MORRIS S. STRICKLAND, CFO
(256) 386-4553
Contract Pharmacy Representative
CVS Rx Services, Inc
Jordan Birnbaum, 340B Vendor Manager
(401) 770-2241
Signed By Date
10/23/2014
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