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ERLANGER PHARMACIES
CH041260 ERLANGER HEALTH SYSTEM SOUTHSIDE/DODSON AVE CHC
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Covered Entity Details
Entity Name
ERLANGER HEALTH SYSTEM SOUTHSIDE/DODSON AVE CHC
Subdivision Name
SOUTHSIDE COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH041260
Entity Address
3800 Tennessee Ave.
Suite 124
CHATTANOOGA, TN 37409
Grant Number
H80CS00091
Participating Start Date
12/1/1992
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
ERLANGER PHARMACIES
Pharmacy Address
DBA ERLANGER PHARMACY
979 EAST THIRD ST. SUITE 120
CHATTANOOGA, TN 37403
Pharmacy Comments
Contract Details
Approval Date
4/16/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2017
Ownership change
Contacts
Covered Entity Signing Official
Joe Winick, Sr. VP of Planning Business Development
(423) 778-8088
Contract Pharmacy Representative
Donna Bourdon, President
(423) 386-1017
Signed By Date
4/16/2013
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