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CVS TN DISTRIBUTION, LLC
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
CVS TN DISTRIBUTION, LLC
Pharmacy Address
10017 KINGSTON PIKE
KNOXVILLE, TN 37922
Pharmacy Comments
Contract Details
Approval Date
10/7/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
JOHN MARK COMPTON, CFO
(423) 787-5077
Contract Pharmacy Representative
CVS Rx Services, Inc
Jordan Birnbaum, 340B Vendor Manager
(401) 770-2241
Signed By Date
10/7/2014
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