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SALE CREEK PHARMACY INC.
CAH441310-00 RHEA MEDICAL CENTER
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Covered Entity Details
Entity Name
RHEA MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH441310-00
Entity Address
9400 RHEA COUNTY HIGHWAY
DAYTON, TN 37321
Medicare Provider Number
441310
Participating Start Date
1/1/2015
Last Recertification Date
9/9/2024
Pharmacy Details
Pharmacy Name
SALE CREEK PHARMACY INC.
Pharmacy Address
DBA: FIRST CARE PHARMACY
14821 DAYTON PIKE
SUITE 115
SALE CREEK, TN 37373
Pharmacy Comments
Contract Details
Approval Date
10/8/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/1/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Marilyn Engel, Business Office Director
(423) 775-8588
Contract Pharmacy Representative
First Care Pharmacy
Jarrett Swafford, Owner
(423) 486-9404
Signed By Date
10/8/2015
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