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CVS TN DISTRIBUTION, LLC
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
CVS TN DISTRIBUTION, LLC
Pharmacy Address
10017 KINGSTON PIKE
KNOXVILLE, TN 37922
Pharmacy Comments
Contract Details
Approval Date
10/1/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/17/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Mike Harbor, CFO
(931) 438-7471
Contract Pharmacy Representative
CVS Rx Services, Inc
Jordan Birnbaum, 340B Vendor Manager
(401) 770-2241
Signed By Date
10/1/2014
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