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TENNESSEE CVS PHARMACY, L.L.C.
CH041309AT Cherokee Health Systems
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Covered Entity Details
Entity Name
Cherokee Health Systems
Subdivision Name
CHS Jones Cove Elementary School Clinic
Type
HRSA-Funded Health Center
340B ID
CH041309AT
Entity Address
4554 Jones Cove Rd
Cosby, TN 37722
Grant Number
H80CS00309
Participating Start Date
1/1/2011
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
TENNESSEE CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 07226
2114 E. ANDREW JOHNSON HWY.
MORRISTOWN, TN 37814
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
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/12/2024
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