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WAL-MART PHARMACY 10-2310
CH041309BB Cherokee Health Systems
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Covered Entity Details
Entity Name
Cherokee Health Systems
Subdivision Name
CHS Knox Homeless Health Center (5th Ave)
Type
HRSA-Funded Health Center
340B ID
CH041309BB
Entity Address
538 W 5th Ave
Knoxville, TN 37917
Grant Number
H80CS00309
Participating Start Date
4/1/2014
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2310
Pharmacy Address
3051 KLNZEL WAY
KNOXVILLE (E), TN 37924
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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