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TENNESSEE CVS PHARMACY, L.L.C.
RRC440025-00 LAUGHLIN MEMORIAL HOSPITAL, INC.
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Covered Entity Details
Entity Name
LAUGHLIN MEMORIAL HOSPITAL, INC.
Subdivision Name
Type
Rural Referral Center
340B ID
RRC440025-00
Entity Address
1420 TUSCULUM BLVD.
GREENEVILLE, TN 37745-5825
Medicare Provider Number
440025
Participating Start Date
4/1/2013
Last Recertification Date
8/16/2016
Entity Termination Date
1/1/2018
Pharmacy Details
Pharmacy Name
TENNESSEE CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 07738
506 ASHEVILLE HWY
GREENEVILLE, TN 37743
Pharmacy Comments
Contract Details
Approval Date
10/7/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/16/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
JOHN MARK COMPTON, CFO
(423) 787-5077
Contract Pharmacy Representative
CVS Caremark
Anthony Gratto, 340B Vendor Manager
(401) 770-7298
Signed By Date
10/7/2013
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