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CVS/SPECIALTY OR CARELONRX SPECIALTY PHA
CH04216A DAYSPRING HEALTH, INC.
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Covered Entity Details
Entity Name
DAYSPRING HEALTH, INC.
Subdivision Name
DAYSPRING JELLICO
Type
HRSA-Funded Health Center
340B ID
CH04216A
Entity Address
550 Sunset Trl
Jellico, TN 37762-2343
Grant Number
H80CS00716
Participating Start Date
10/1/1996
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
CVS/SPECIALTY OR CARELONRX SPECIALTY PHA
Pharmacy Address
CAREMARK, LLC
1001 SPINKS ROAD, STE 280
FLOWER MOUND, TX 75028
Pharmacy Comments
Contract Details
Approval Date
7/9/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lawrence Michael Rector, CEO
(423) 784-8492 Ext: 221
Contract Pharmacy Representative
Wellpartner
Kaycee Peterson, account manager
(469) 238-3283
Signed By Date
7/9/2024
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