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CORLEY'S PHARMACY INC
CH041279K RURAL HEALTH SERVICES CONSORTIUM
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Covered Entity Details
Entity Name
RURAL HEALTH SERVICES CONSORTIUM
Subdivision Name
LIMESTONE MEDICAL CENTER
Type
HRSA-Funded Health Center
340B ID
CH041279K
Entity Address
105 LIMESTONE RURITAN RD.
LIMESTONE, TN 37681
Grant Number
H80CS00421
Participating Start Date
4/1/1999
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
CORLEY'S PHARMACY INC
Pharmacy Address
1004 SNAPPS FERRY RD
PO BOX 874
GREENEVILLE, TN 37744-0874
Pharmacy Comments
Contract Details
Approval Date
9/30/2010
Contract Begin Date
9/30/2010
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
LINDA W. BUCK, CHIEF EXECUTIVE OFFICER
(423) 272-9163 Ext: 8901
Contract Pharmacy Representative
ROBERT MCNEESE, VP
(423) 638-7552
Signed By Date
9/24/2010
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