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WAL-MART PHARMACY 10-0657
STD37204 Nashville CARES
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Covered Entity Details
Entity Name
Nashville CARES
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD37204
Entity Address
442 Metroplex Dr.
Building D Suite 100
Nashville, TN 37211
Grant Number
NU62PS924701
Participating Start Date
7/22/2020
Last Recertification Date
5/16/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0657
Pharmacy Address
768 S JEFFERSON AVE
COOKEVILLE, TN 38501
Pharmacy Comments
Contract Details
Approval Date
1/15/2025
Contract Begin Date
1/24/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Amna Osman, CEO
(615) 762-6953
Contract Pharmacy Representative
Walmart
Christian Nava, Senior Manager, Program Development-340B
(210) 632-0647
Signed By Date
1/15/2025
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