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CLEVELAND DISCOUNT PHARMACY
CH04123B OCOEE REGIONAL HEALTH CORPORATION
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Covered Entity Details
Entity Name
OCOEE REGIONAL HEALTH CORPORATION
Subdivision Name
RHEA COUNTY PRIMARY CARE CENTER
Type
HRSA-Funded Health Center
340B ID
CH04123B
Entity Address
8850 Rhea County Hwy
DAYTON, TN 37321-7932
Grant Number
H80CS00762
Participating Start Date
7/1/2015
Last Recertification Date
2/28/2025
Pharmacy Details
Pharmacy Name
CLEVELAND DISCOUNT PHARMACY
Pharmacy Address
GAYATRIMATA LLC
2296 DALTON PIKE SE
CLEVELAND, TN 37311
Pharmacy Comments
Contract Details
Approval Date
7/5/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
BILL MOATS, CEO
(423) 338-8995 Ext: 1212
Contract Pharmacy Representative
Cleveland Discount Pharmacy
Metesh Patel, Pharmacy Owner
(423) 650-3605
Signed By Date
7/5/2024
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