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WALGREEN CO.
FQHCLA184B CHEROKEE HEALTH SYSTEMS
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Covered Entity Details
Entity Name
CHEROKEE HEALTH SYSTEMS
Subdivision Name
CHS Sevier County
Type
Health Center Program Look-Alike
340B ID
FQHCLA184B
Entity Address
10731 Chapman Hwy
Seymour, TN 37865-4765
Grant Number
LALCS00020
Participating Start Date
7/1/2013
Last Recertification Date
2/19/2015
Entity Termination Date
1/1/2016
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 04169
4001 CHAPMAN HIGHWAY
KNOXVILLE, TN 37920
Pharmacy Comments
Contract Details
Approval Date
4/14/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2016
Contacts
Covered Entity Signing Official
Joel Hornberger, CSO
(865) 544-0406
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/14/2014
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