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AVELLA OF DEER VALLEY, INC. #38
CH046560 HARDIN COUNTY REGIONAL HEALTH CENTER
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Covered Entity Details
Entity Name
HARDIN COUNTY REGIONAL HEALTH CENTER
Subdivision Name
DBA LIfespan Health
Type
HRSA-Funded Health Center
340B ID
CH046560
Entity Address
765 FLORENCE ROAD
SAVANNAH, TN 38372
Grant Number
H80CS00180
Participating Start Date
7/1/2003
Last Recertification Date
2/26/2025
Pharmacy Details
Pharmacy Name
AVELLA OF DEER VALLEY, INC. #38
Pharmacy Address
DBA AVELLA SPECIALTY PHARMACY
24416 N. 19TH AVE
PHOENIX, AZ 85085
Pharmacy Comments
Contract Details
Approval Date
10/13/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/28/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Y. T. McGinley, CEO
(731) 925-2300 Ext: 8968
Contract Pharmacy Representative
Avella Specialty Pharmacy
JP Alacom, Director of Pharmacy
(916) 569-5660
Signed By Date
10/13/2017
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