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ASHEVILLE HIGHWAY PHARMACY, INC.
DSH440050 Greeneville Community Hospital
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Covered Entity Details
Entity Name
Greeneville Community Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH440050
Entity Address
1420 Tusculum Blvd
GREENEVILLE, TN 37745
Medicare Provider Number
440050
Participating Start Date
7/1/2009
Last Recertification Date
8/30/2023
Entity Termination Date
1/1/2024
Pharmacy Details
Pharmacy Name
ASHEVILLE HIGHWAY PHARMACY, INC.
Pharmacy Address
D/B/A ATCHLEY DRUG CENTER
511 ASHEVILLE HWY
GREENEVILLE, TN 37743
Pharmacy Comments
Contract Details
Approval Date
7/11/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
STEVEN MILLER, VP FINANCE/CFO
(606) 598-1035
Contract Pharmacy Representative
Alan Corley, owner
(423) 638-7552
Signed By Date
7/11/2013
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