340B Drug Pricing Program Database
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TENNESSEE CVS PHARMACY, L.L.C.
RWI37204 Nashville CARES
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Covered Entity Details
Entity Name
Nashville CARES
Subdivision Name
Type
Ryan White Part A
340B ID
RWI37204
Entity Address
442 Metroplex Dr.
Building D Suite 100
Nashville, TN 37211
Grant Number
H89HA11433
Participating Start Date
4/28/2021
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
TENNESSEE CVS PHARMACY, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY #10204
4155 ELVIS PRESLEY BLVD
MEMPHIS, TN 38116
Pharmacy Comments
Contract Details
Approval Date
1/15/2025
Contract Begin Date
1/27/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Amna Osman, CEO
(615) 762-6953
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/15/2025
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