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TENNESSEE CVS PHARMACY, L.L.C.
CAH441303-00 THREE RIVERS HOSPITAL
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Covered Entity Details
Entity Name
THREE RIVERS HOSPITAL
Subdivision Name
Three Rivers Hospital
Type
Critical Access Hospital
340B ID
CAH441303-00
Entity Address
451 HWY 13 S
WAVERLY, TN 37185
Medicare Provider Number
441303
Participating Start Date
1/1/2021
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
TENNESSEE CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 01741
406 W. MAIN ST.
WAVERLY, TN 37185
Pharmacy Comments
Contract Details
Approval Date
10/3/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Freda B Russell, CAO
(931) 296-0232
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/3/2024
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