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TENNESSEE CVS PHARMACY, L.L.C.
FQHCLA404 CHATTANOOGA C.A.R.E.S. DBA CEMPA COMMUNITY CARE
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Covered Entity Details
Entity Name
CHATTANOOGA C.A.R.E.S. DBA CEMPA COMMUNITY CARE
Subdivision Name
Cempa Community Care Clinic
Type
Health Center Program Look-Alike
340B ID
FQHCLA404
Entity Address
1000 E. 3rd Street Ste 300
Chattanooga, TN 37403-2153
Grant Number
LALCS33899
Participating Start Date
3/17/2020
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
TENNESSEE CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 05687
1301 DORCHESTER ROAD
SUITE 117
CHATTANOOGA, TN 37405
Pharmacy Comments
Contract Details
Approval Date
4/11/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Shannon Burger, CEO
(423) 648-9911
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/11/2025
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