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WAL-MART PHARMACY 10-1319
CH041309AM Cherokee Health Systems
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Covered Entity Details
Entity Name
Cherokee Health Systems
Subdivision Name
CHS Pigeon Forge Primary School Clinic
Type
HRSA-Funded Health Center
340B ID
CH041309AM
Entity Address
1766 Waldens Creek Road
Pigeon Forge, TN 37876
Grant Number
H80CS00309
Participating Start Date
1/1/2011
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1319
Pharmacy Address
7550 NORRIS FREEWAY
KNOXVILLE, TN 37938
Pharmacy Comments
Contract Details
Approval Date
4/12/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Suzanne Bailey, Chief Operating Officer
(865) 544-0406
Contract Pharmacy Representative
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
4/12/2024
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