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CVS TN DISTRIBUTION, LLC
CAH341319-00 TRANSYLVANIA COMMUNITY HOSPITAL D/B/A TRANSYLVANIA REGIONAL HOSPITAL
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Covered Entity Details
Entity Name
TRANSYLVANIA COMMUNITY HOSPITAL D/B/A TRANSYLVANIA REGIONAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH341319-00
Entity Address
260 HOSPITAL DRIVE
BREVARD, NC 28712
Medicare Provider Number
341319
Participating Start Date
8/12/2010
Last Recertification Date
9/11/2018
Entity Termination Date
4/1/2019
Pharmacy Details
Pharmacy Name
CVS TN DISTRIBUTION, LLC
Pharmacy Address
10017 KINGSTON PIKE
KNOXVILLE, TN 37922
Pharmacy Comments
Contract Details
Approval Date
10/16/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/1/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Marc Nakagawa, Regional Director, Finance
(828) 883-5350
Contract Pharmacy Representative
CVS Rx Services, Inc
Jordan Birnbaum, 340B Vendor Manager
(401) 770-2241
Signed By Date
10/16/2014
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