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CAREMARK TENNESSEE SPECIALTY PHARMACY, L
CH037480 KUUMBA COMMUNITY HEALTH & WELLNESS CENTER, INC.
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Covered Entity Details
Entity Name
KUUMBA COMMUNITY HEALTH & WELLNESS CENTER, INC.
Subdivision Name
Kuumba Community Health and Wellness Center, Inc. d/b/a New Horizons Healthcare
Type
HRSA-Funded Health Center
340B ID
CH037480
Entity Address
3716 Melrose Avenue NW
Roanoke, VA 24017-2716
Grant Number
H80CS00608
Participating Start Date
1/1/2001
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
CAREMARK TENNESSEE SPECIALTY PHARMACY, L
Pharmacy Address
DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
8370 WOLF LAKE DR
STE 107
BARTLETT, TN 38133
Pharmacy Comments
Contract Details
Approval Date
4/5/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jonathan Stewart, Chief Executive Officer
(540) 362-0360 Ext: 101
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/5/2024
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