340B Drug Pricing Program Database

Pharmacy Name

RURAL HEALTH SERVICES PHCY

Pharmacy Address

4307 HIGHWAY 66 S
ROGERSVILLE, TN 37857

Pharmacy Comments

Approval Date

5/2/2014

Contract Begin Date

7/1/2014

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

11/9/2015
Agreement registered in error

Covered Entity Signing Official

LINDA W. BUCK, CHIEF EXECUTIVE OFFICER
(423) 272-9163 Ext: 8901

Contract Pharmacy Representative

Jim Shuck, Pharmacist
(423) 921-1621 Ext: 1719

Signed By Date

4/4/2014