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JONES HOMETOWN PHARMACY
CHC26598-00 Maury Regional Hospital
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Covered Entity Details
Entity Name
Maury Regional Hospital
Subdivision Name
Lewis Health Center
Type
HRSA-Funded Health Center
340B ID
CHC26598-00
Entity Address
617 W Main St
Hohenwald, TN 38462-1355
Grant Number
H80CS26598
Participating Start Date
10/1/2014
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
JONES HOMETOWN PHARMACY
Pharmacy Address
121 W MAIN ST
HOHENWALD, TN 38462-1404
Pharmacy Comments
Contract Details
Approval Date
4/14/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/2/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Deborah Lumpkins, CNO - VP of Patient Care Services
(931) 490-7118
Contract Pharmacy Representative
Rick Jones, Pharmacist in Charge
(931) 796-5901
Signed By Date
4/14/2015
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