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TENNESSEE CVS PHARMACY, L.L.C.
DSH440102 HH Health System - Lincoln, Inc.
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Covered Entity Details
Entity Name
HH Health System - Lincoln, Inc.
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH440102
Entity Address
106 MEDICAL CENTER BLVD
FAYETTEVILLE, TN 37334
Medicare Provider Number
440102
Participating Start Date
10/1/2004
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
TENNESSEE CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04352
1107 HUNTSVILLE HIGHWAY
FAYETTEVILLE, TN 37334
Pharmacy Comments
Contract Details
Approval Date
7/22/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/17/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Nancy Richardson, Interim CFO
(931) 438-7471
Contract Pharmacy Representative
CVS Caremark
Anthony Gratto, 340B Vendor Manager
(401) 770-7298
Signed By Date
7/22/2013
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