Covered Entity Details

CH06094CQ ARCARE (Active) - information as of 4/23/2025 10:53:46 PM

Main Details

Name

ARCARE

Subdivision Name

MississippiCare - 126

Type

HRSA-Funded Health Center

Site ID

BPS-H80-036408

340B ID

CH06094CQ

Grant Number

H80CS00207

Additional Details

Current Program Status

Active

Registration Date

7/14/2023

Participating Start Date

10/1/2023

Participating Approval Date

7/19/2023

Last Recertification Date

2/18/2025

Contacts

Authorizing Official

ARcare
TALMAGE J. WHITEHEAD, President/CFO
(870) 347-3414

Primary Contact

ARcare
Dallas Holland, Director of 340B Compliance
(870) 347-3483

Addresses

Street Address

232 Starlyn Ave
New Albany, MS 38652-2428

Billing Address

ARcare
117 S 2nd St
Augusta, AR 72006

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
MS	200009358	1396439899

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CH060940	Active	BPS-H80-012535	ARCARE	ARcare Corporate Office	117 S 2nd St	Augusta	AR
CH06094A	Active	BPS-H80-001432	ARCARE	ARcare - 20	125 OAK STREET	COTTON PLANT	AR
CH06094AA	Active	BPS-H80-005344	ARCARE	ARcare - 55	1530 N. CHURCH	JONESBORO	AR
CH06094AB	Active	BPS-H80-007596	ARCARE	ARcare - 75	406 Rodgers Dr	Searcy	AR
CH06094AC	Active	BPS-H80-009555	ARCARE	ARcare - 22	2816 Fox Meadow Ln	Jonesboro	AR
CH06094AD	Active	BPS-H80-010491	ARCARE	KentuckyCare - 021	75 E Court St	Bardwell	KY
CH06094AE	Active	BPS-H80-011455	ARCARE	ARcare - 29	800 Main St	Augusta	AR
CH06094AF	Active	BPS-H80-011020	ARCARE	ARcare-26	2624 Highway 42	Cherry Valley	AR
CH06094AG	Active	BPS-H80-011019	ARCARE	ARcare 24	1500 Museum Rd STE 104	Conway	AR
CH06094AH	Active	BPS-H80-011157	ARCARE	ARcare-27 Mobile Unit	800 Main St	Augusta	AR
CH06094AJ	Terminated	BPS-H80-000994	ARCARE	ARcare - 04 Fitness Center	904 N 4th St	Augusta	AR
CH06094AK	Active	BPS-H80-012984	ARCARE	ARcare - 100	54 TATE SPRINGS RD	Melbourne	AR
CH06094AL	Active	BPS-H80-011340	ARCARE	ARcare - 10	400 Highway 64 East	Augusta	AR
CH06094AM	Active	BPS-H80-017295	ARCARE	ARcare - 41	2450 Batesville Blvd	Batesville	AR
CH06094AN	Active	BPS-H80-013464	ARCARE	ARcare - 47	1310 N CENTER ST	LONOKE	AR
CH06094AQ	Active	BPS-H80-017781	ARCARE	KentuckyCare - 43	125 S. 20th Street	Paducah	KY
CH06094AR	Active	BPS-H80-031633	ARCARE	KentuckyCare - 44	3360 Wayne Sullivan Dr	Paducah	KY
CH06094AS	Active	BPS-H80-013462	ARCARE	ARcare - 42	8 N RAILROAD AVENUE	MAYFLOWER	AR
CH06094AT	Active	BPS-H80-013463	ARCARE	ARcare - 46	5830 Highway 5	Cabot	AR
CH06094AU	Active	BPS-H80-013909	ARCARE	ARcare - 48	4100 HARRISON ST	BATESVILLE	AR
CH06094AV	Active	BPS-H80-013849	ARCARE	ARcare - 23	805 Third St	Horseshoe Bend	AR
CH06094AW	Active	BPS-H80-015000	ARCARE	KentuckyCare - 112	120 N 4TH ST	BARLOW	KY
CH06094AX	Active	BPS-H80-031966	ARCARE	ARcare - 88	8924 Kanis Rd	Little Rock	AR
CH06094AY	Active	BPS-H80-017442	ARCARE	ARcare-89	502 Richie Rd	Cabot	AR
CH06094AZ	Active	BPS-H80-018028	ARCARE	ARcare-59	416 E Washington Ave	Jonesboro	AR
CH06094B	Active	BPS-H80-032933	ARCARE	ARcare - 30	1503 Main St.	Des Arc	AR
CH06094BA	Terminated	BPS-H80-019222	ARCARE	KentuckyCare-63	211 South 8th Street	Mayfield	KY
CH06094BB	Active	BPS-H80-018701	ARCARE	ARcare-87	1127 Main Street	Vilonia	AR
CH06094BC	Active	BPS-H80-021032	ARCARE	MississippiCare - 113	353 Highway 15 N	Pontotoc	MS
CH06094BD	Active	BPS-H80-021499	ARCARE	ARcare-64	305 Rodgers Dr	Searcy	AR
CH06094BE	Active	BPS-H80-021785	ARCARE	ARcare-120	908 N Edmonds Ave	McCrory	AR
CH06094BF	Active	BPS-H80-024402	ARCARE	ARcare-111	1400 Braden Street, STE 1	Jacksonville	AR
CH06094BG	Active	BPS-H80-027250	ARCARE	ARcare-121	630 W South St	Benton	AR
CH06094BH	Active	BPS-H80-027375	ARCARE	KentuckyCare - 128	312 S 8th St	Murray	KY
CH06094BJ	Active	BPS-H80-029446	ARCARE	ARcare-31	304 Main St	Pangburn	AR
CH06094BK	Active	BPS-H80-030059	ARCARE	ARcare - 32	501 Millwood Cir Ste E	Maumelle	AR
CH06094BL	Active	BPS-H80-030060	ARCARE	ARcare-131	138 School Rd	Rose Bud	AR
CH06094BM	Active	BPS-H80-030197	ARCARE	ARcare-124	3150 E Heritage Pkwy	Farmington	AR
CH06094BN	Active	BPS-H80-029910	ARCARE	MississippiCare-129	2173 S Lamar Blvd	Oxford	MS
CH06094BP	Active	BPS-H80-030207	ARCARE	ARcare - 136	3057 Springdale Ave	Springdale	AR
CH06094BQ	Active	BPS-H80-030196	ARCARE	ARcare - 135	145 N Curtis Ave	Pea Ridge	AR
CH06094BR	Active	BPS-H80-036088	ARCARE	KentuckyCare - 63	110 Kings Dr.	Mayfield	KY
CH06094BS	Active	BPS-H80-030521	ARCARE	ARcare - 102	11520 Sr 27	Hector	AR
CH06094BT	Active	BPS-H80-030386	ARCARE	ARcare - 33	2805 Mid Cities Dr Ste 1	Bentonville	AR
CH06094BU	Active	BPS-H80-036194	ARCARE	ARcare - 078	4020 North Richards Rd. STE 1	North Little Rock	AR
CH06094BV	Active	BPS-H80-036131	ARCARE	ARcare - 049	180 Medical Park Place STE 102	Hot Springs	AR
CH06094BW	Active	BPS-H80-031532	ARCARE	ARcare - 51	401 East St	Texarkana	AR
CH06094BX	Active	BPS-H80-031911	ARCARE	ARcare - 028	2000 Harrison St Ste D	Batesville	AR
CH06094BY	Active	BPS-H80-032211	ARCARE	KentuckyCare - 150	1372 US Highway 60 E	Burna	KY
CH06094BZ	Active	BPS-H80-031711	ARCARE	ARcare-105	11720 Sr 27	Hector	AR
CH06094CA	Active	BPS-H80-033600	ARCARE	ARcare - 69	318 S Rhodes St	West Memphis	AR
CH06094CB	Active	BPS-H80-038147	ARCARE	ARcare - 079	1600 West Holland Street STE 202	White Hall	AR
CH06094CC	Active	BPS-H80-032212	ARCARE	KentuckyCare - 153	750 US Highway 60 W	Smithland	KY
CH06094CD	Active	BPS-H80-032581	ARCARE	ARcare - 138	500 S University Ave Ste 316	Little Rock	AR
CH06094CE	Terminated	BPS-H80-032355	ARCARE	ARcare - 192	1903 W Clark Rd	Clarksville	AR
CH06094CF	Active	BPS-H80-032580	ARCARE	ARcare - 137	1301 Highway 62 E	Mountain Home	AR
CH06094CG	Active	BPS-H80-032354	ARCARE	KentuckyCare - 151	850 Cutoff Rd	Smithland	KY
CH06094CH	Terminated	BPS-H80-032933	ARCARE	ARcare - 30	1503 Main St	Des Arc	AR
CH06094CJ	Active	BPS-H80-033405	ARCARE	ARcare - 141	5510 Southwest Dr Ste 12	Jonesboro	AR
CH06094CK	Active	BPS-H80-034054	ARCARE	ARcare - 142	1301 West Center Street	Beebe	AR
CH06094CL	Terminated	BPS-H80-031709	ARCARE	ARcare - 69	1028 N Missouri St Ste 6	West Memphis	AR
CH06094CM	Active	BPS-H80-035925	ARCARE	Kentuckycare - 39	308 S. WASHINGTON ST. STE 200	CLINTON	KY
CH06094CN	Active	BPS-H80-036764	ARCARE	ARcare-074	305 S Falls Blvd	Wynne	AR
CH06094CP	Active	BPS-H80-036407	ARCARE	MississippiCare - 127	65 S. Thomas Street	Tupelo	MS
CH06094CQ	Active	BPS-H80-036408	ARCARE	MississippiCare - 126	232 Starlyn Ave	New Albany	MS
CH06094CR	Active	BPS-H80-037002	ARCARE	ARcare - 077	103 Woodlane Dr	Searcy	AR
CH06094CS	Active	BPS-H80-037172	ARCARE	ARcare - 073	1517 S Main St	Malvern	AR
CH06094CT	Active	BPS-H80-036910	ARCARE	ARcare - 054	900 N Main St	Searcy	AR
CH06094CU	Active	BPS-H80-036616	ARCARE	ARcare - 037	105 N 1st St	Augusta	AR
CH06094CV	Active	BPS-H80-037001	ARCARE	ARcare-076	815 School Drive	Bryant	AR
CH06094CW	Active	BPS-H80-037452	ARCARE	ARcare - 057	14558 Highway 412	Huntsville	AR
CH06094CX	Active	BPS-H80-037853	ARCARE	ARcare - 082	212 W Monroe Ave STE B	Lowell	AR
CH06094CY	Active	BPS-H80-037854	ARCARE	KentuckyCare - 058	2006 Holiday Lane	Fulton	KY
CH06094CZ	Active	BPS-H80-038152	ARCARE	KentuckyCare - 038	2200 Washington St	Paducah	KY
CH06094DA	Active	BPS-H80-038560	ARCARE	ARcare - 083	1900 Malvern Avenue STE 403	Hot Springs	AR
CH06094DB	Active	BPS-H80-038634	ARCARE	ARcare - 086	6 Shackleford Dr	Little Rock	AR
CH06094DC	Active	BPS-H80-038635	ARCARE	ARcare - 092	2424 W Main St	Russellville	AR
CH06094DD	Active	BPS-H80-038637	ARCARE	ARcare - 091	2411 McCain Blvd STE 2	North Little Rock	AR
CH06094DE	Active	BPS-H80-038636	ARCARE	ARcare - 096	1792 E Joyce Blvd	Fayetteville	AR
CH06094DF	Approved	BPS-H80-039781	ARCARE	ARcare - 072	700 Golf Course Drive STE 704	Searcy	AR
CH06094DG	Approved	BPS-H80-039927	ARCARE	ARcare - 099	1601 N Church St	Atkins	AR
CH06094F	Active	BPS-H80-017129	ARCARE	ARcare - 40	705 Highway 63 N	HAZEN	AR
CH06094G	Active	BPS-H80-000353	ARCARE	ARcare - 17	821 EAST PARK ST. HWY.70	CARLISLE	AR
CH06094H	Active	BPS-H80-008696	ARCARE	ARCARE 16	178 Highway 167 N	Bald Knob	AR
CH06094I	Active	BPS-H80-001172	ARCARE	ARcare - 90	300 EAST MAIN STREET	SWIFTON	AR
CH06094J	Active	BPS-H80-012173	ARCARE	ARcare - 25	5787 Highway 64	Parkin	AR
CH06094K	Active	BPS-H80-013676	ARCARE	ARcare - 60	601 JULIA AVE E	WYNNE	AR
CH06094L	Active	BPS-H80-008966	ARCARE	ARcare - 35	1175 Vine St	Batesville	AR
CH06094N	Active	BPS-H80-000658	ARCARE	ARcare - 65	1009 Highway 18	Lake City	AR
CH06094Q	Active	BPS-H80-002571	ARCARE	ARcare-70	615 N MAIN ST	BRINKLEY	AR
CH06094T	Active	BPS-H80-004927	ARCARE	ARcare - 50	801 NORTH EDMONDS	MCCRORY	AR
CH06094V	Active	BPS-H80-000198	ARCARE	ARcare - 80	606 W Wilbur Mills Ave	Kensett	AR
CH06094X	Active	BPS-H80-024561	ARCARE	ARcare - 45	114 Ray Street	Newport	AR
CH06094Y	Active	BPS-H80-010537	ARCARE	ARcare - 85	1511 Hwy 25B North	Heber Springs	AR
CH06094Z	Active	BPS-H80-019217	ARCARE	ARCARE - 93	105 N Jackson Street	Cabot	AR
CHC11368-01	Active	BPS-H80-008343	ARCARE	ARcare - 18	227 Pine Bluff Highway	England	AR

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH060940	3BG INC	SUITE 101	810 AMITY RD STE 101	CONWAY	AR	72032-6001	10/01/2013	02/25/2023
CH060940	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	10/01/2020
CH060940	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	10/01/2020
CH060940	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	10/01/2020
CH060940	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	10/01/2020	06/30/2023
CH060940	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	10/01/2020
CH060940	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	10/01/2020
CH060940	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	01/01/2025
CH060940	ACHOR FAMILY PHARMACY, LLC	1900 CLUB MANOR DR STE 101		MAUMELLE	AR	72113-7443	04/01/2020
CH060940	ADVANCED CARE SCRIPTS, INC	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	6251 CHANCELLOR DRIVE SUITE 101	ORLANDO	FL	32809	04/01/2024
CH060940	ALLCARE PHARMACY	1903 GRANT AVE, SUITE I AND J		JONESBORO	AR	72401	07/01/2016	04/19/2019
CH060940	ALLCARE PHARMACY	3002 WEST PINE ST		ARKADELPHIA	AR	71923-5325	07/01/2016	01/12/2018
CH060940	ALLCARE PHARMACY	600 W MAIN ST		HEBER SPRINGS	AR	72543-2920	07/01/2016	10/10/2020
CH060940	ALLCARE SPECIALTY PHARMACY, LLC	10620 COLONEL GLENN RD STE 300		LITTLE ROCK	AR	72204-8048	01/01/2025
CH060940	ARCARE PHARMACY 12	615 N MAIN ST		BRINKLEY	AR	72021-2507	01/01/2015	07/01/2019
CH06094A	ARCARE PHARMACY 12	615 N MAIN ST		BRINKLEY	AR	72021-2507	09/02/2009	07/09/2019
CH06094Q	ARCARE PHARMACY 12	615 N MAIN ST		BRINKLEY	AR	72021-2507	05/01/2008	07/09/2019
CH060940	ARCARE PHARMACY 13	5787 HIGHWAY 64		PARKIN	AR	72373-9003	01/01/2015	07/01/2019
CH06094J	ARCARE PHARMACY 13	5787 HIGHWAY 64		PARKIN	AR	72373-9003	05/01/2008	07/09/2019
CH060940	ARCARE PHARMACY 84	105 N. JACKSON ST.		CABOT	AR	72023-3309	10/01/2016	07/01/2019
CH060940	ARKANSAS CVS PHARMACY, L.L.C.	CVS/PHARMACY #10666	110 SOUTHWEST DRIVE	JONESBORO	AR	72401	01/01/2021
CH060940	ARKANSAS CVS PHARMACY, L.L.C.	CVS PHARMACY # 17037	3000 E HIGHLAND DR STE A	JONESBORO	AR	72401	01/01/2021
CH060940	ARKANSAS CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY # 10430	8604 HIGHWAY 107	SHERWOOD	AR	72120	01/01/2021
CH060940	ARKANSAS CVS PHARMACY, L.L.C.	CVS/PHARMACY # 10678	1501 WEST KINGS HIGHWAY	PARAGOULD	AR	72450	01/01/2021
CH060940	ARKANSAS CVS PHARMACY, L.L.C.	CVS PHARMACY # 17011	501 ELSINGER BLVD	CONWAY	AR	72032	07/01/2021
CH060940	ARKANSAS CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY #10518	825 OAK STREET	CONWAY	AR	72032	07/01/2021
CH060940	ARKANSAS CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY # 10019	3908 N. STATELINE AVE.	TEXARKANA	AR	71854	07/01/2021
CH060940	ARKANSAS CVS PHARMACY, L.L.C.	CVS/PHARMACY # 11093	101 EAST MAIN STREET	RUSSELLVILLE	AR	72801	07/01/2021
CH060940	ARKANSAS CVS PHARMACY, L.L.C.	CVS PHARMACY # 16486	12700 CHENAL PKWY	LITTLE ROCK	AR	72211	07/01/2021
CH060940	ARKANSAS CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY #10779	1122 SOUTH UNIVERSITY AVENUE	LITTLE ROCK	AR	72204	07/01/2021
CH060940	ARKANSAS CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY # 10539	3630 CENTRAL AVENUE	HOT SPRINGS	AR	71913	07/01/2021
CH060940	ARKANSAS CVS PHARMACY, L.L.C.	CVS/PHARMACY # 10975	2501 MCCAIN BOULEVARD	NORTH LITTLE ROCK	AR	72116	07/01/2021
CH060940	ARKANSAS CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY #10519	2001 SOUTH THOMPSON STREET	SPRINGDALE	AR	72764	01/01/2022
CH060940	ARKANSAS CVS PHARMACY, L.L.C.	CVS PHARMACY # 17611	420 S UNIVERSITY AVE	LITTLE ROCK	AR	72205	07/01/2022
CH060940	ARKANSAS CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY #10408	2833 BELLA VISTA WAY	BELLA VISTA	AR	72714	04/01/2024
CH060940	BADGER ACQUISITION OF KY LLC	OMNICARE OF HENDERSON	1900 HWY 41 NORTH #4	HENDERSON	KY	42420-4964	01/01/2021
CH060940	BARDWELL PHARMACY		178 US HWY 51 N PO BOX 208	BARDWELL	KY	42023	01/01/2013	04/30/2016
CH060940	BARDWELL PHARMACY	P.O. BOX 335	178 US HIGHWAY 51 N	BARDWELL	KY	42023	07/01/2016	10/02/2024
CH060940	BEST DRUG STORE	906 N. EDMONDS AVE	POST OFFICE BOX 368	MC CRORY	AR	72101-8073	01/01/2015	01/07/2023
CH06094T	BEST DRUG STORE	906 N. EDMONDS AVE	POST OFFICE BOX 368	MC CRORY	AR	72101-8073	11/17/2009	01/07/2023
CH060940	BILL'S PHARMACY	601 MAIN ST.		AUGUSTA	AR	72006	05/01/2008	07/01/2019
CH060940	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	13925 YALE AVE STE 145		IRVINE	CA	92620-2670	01/01/2024
CH060940	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	376 NORTHLAKE BLVD		ALTAMONTE SPRINGS	FL	32701-5261	01/01/2024
CH060940	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	4900 PROSPECTUS DR STE 300		DURHAM	NC	27713	01/01/2024
CH060940	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	145 S 79TH ST STE 70	CHANDLER	AZ	85226	10/01/2024
CH060940	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	BIOPLUS SPECIALTY PHARMACY SERVICES, LLC	4740 VICTORY LN STE C	INDIANAPOLIS	IN	46203	10/01/2024
CH060940	BIOPLUS SPECIALTY PHARMACY, INC	3200 LAKE EMMA RD UNIT 1000		LAKE MARY	FL	32746	07/01/2024
CH060940	BRYANT'S INVESTMENTS & HOLDINGS, INC.	BRYANT'S PHARMACY & HEALTH CARE CENTER,	2000 HARRISON ST STE A SUITE A	BATESVILLE	AR	72501-7444	03/31/2011
CH060940	CABOT MEDICAL PARK PHARMACY	PO BOX 1242	2039 W MAIN ST	CABOT	AR	72023	02/04/2011	04/30/2016
CH060940	CAEVERETT, INC.	CORNER DRUG STORE	830 MAIN ST	MELBOURNE	AR	72556-8205	07/01/2020
CH060940	CALDWELL DISCOUNT DRUG	804 FALLS BLVD S	PO BOX 1084	WYNNE	AR	72396-3505	03/13/2012
CH06094K	CALDWELL DISCOUNT DRUG	804 FALLS BLVD S	PO BOX 1084	WYNNE	AR	72396-3505	05/01/2008	08/18/2023
CH060940	CALIFORNIA PREMIER SERVICES INC.	407 MAIN ST. #3		MARBLE FALLS	TX	78654	01/01/2019	06/02/2019
CH060940	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	01/01/2021
CH060940	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	01/01/2021
CH060940	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	01/01/2021
CH060940	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	01/01/2021
CH060940	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	01/01/2021
CH060940	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	01/01/2021
CH060940	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	01/01/2021
CH060940	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	01/01/2021
CH060940	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	01/01/2021
CH060940	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	01/01/2021
CH060940	CENTERWELL PHARMACY, INC.	11010 FLORIDA CROWN DRIVE, SUITE 200		ORLANDO	FL	32824	07/01/2024
CH060940	CENTERWELL PHARMACY, INC.	9843 WINDISCH RD		WEST CHESTER	OH	45069	07/01/2024
CH060940	CHILDERS MGMT INC, DBA: LOWERY DRUG MART	CHILDERS MGMT INC, DBA: LOWERY DRUG MART	123 CENTRAL AVE	SEARCY	AR	72143	01/01/2015	07/25/2023
CH06094AB	CHILDERS MGMT INC, DBA: LOWERY DRUG MART	CHILDERS MGMT INC, DBA: LOWERY DRUG MART	123 CENTRAL AVE	SEARCY	AR	72143	05/08/2009	07/25/2023
CH060940	CITY PHARMACY	1801 BROADWAY ST		LITTLE ROCK	AR	72206-1222	04/01/2018	03/10/2020
CH060940	CLARK DRUG STORE	2116 HIGHWAY 367 N	P O BOX 1130	BALD KNOB	AR	72010-9443	01/01/2015
CH06094H	CLARK DRUG STORE	2116 HIGHWAY 367 N	P O BOX 1130	BALD KNOB	AR	72010-9443	06/06/2008	08/18/2023
CH060940	CLARK'S FAMILY PHARMACY	621 COMMERCE ST		EARLE	AR	72331-1616	10/01/2010
CH060940	COMMUNITY CARE RX LLC	1606 MARTIN LUTHER KING BLVD		MALVERN	AR	72104-2105	04/01/2024
CH060940	CORAM ALTERNATE SITE SERVICES, INC.	DBA CORAM CVS/SPECIALTY INFUSION SERVICE	2345 WATERS DRIVE	MENDOTA HEIGHTS	MN	55120	04/01/2024
CH060940	CORAM ALTERNATE SITE SERVICES, INC.	DBA CORAM CVS/SPECIALTY INFUSION SERVICE	1471 E BUSINESS CENTER DRIVE SUITE 500	MOUNT PROSPECT	IL	60056	04/01/2024	04/01/2025
CH060940	CORAM ALTERNATE SITE SERVICES, INC.	DBA CORAM CVS/SPECIALTY INFUSION SERVICE	6 SPRING MILL DR	MALVERN	PA	19355	07/01/2025
CH060940	CORNER DRUG STORE	CORNER DRUG STORE	LISAGARDNER99@MAC.COM 830 EAST MAIN STREET	MELBOURNE	AR	72556-7255	07/01/2013	09/03/2020
CH060940	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	07/01/2021
CH060940	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	07/01/2021
CH060940	CVS PHARMACY, INC.	CVS/PHARMACY # 10448	801 N. CANAL ST.	CARLSBAD	NM	88220	01/01/2021	04/01/2025
CH060940	CVS PHARMACY, INC.	DBA: CVS/PHARMACY # 07463	801 W. PANOLA ST.	CARTHAGE	TX	75633	01/01/2021	04/01/2025
CH060940	CVS PHARMACY, INC.	CVS PHARMACY # 17401	2025 N CENTRAL EXPY	MCKINNEY	TX	75070	07/01/2021	04/01/2025
CH060940	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	01/01/2021
CH060940	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	01/01/2024
CH060940	D&D PHARMACY LLC	8908 KANIS ROAD, SUITE 350		LITTLE ROCK	AR	72205	10/01/2019	11/09/2020
CH060940	DARLING MEDI-SAVE	JIM DARLING	1303 MCLAIN ST	NEWPORT	AR	72112-7211	10/01/2010
CH060940	DAVIS DRUGS	DAVIS DRUGS	250 LONE OAK RD	PADUCAH	KY	42001	01/01/2014	12/31/2015
CH060940	DOCTOR'S ORDERS PHARMACY #2	2302 W 28TH AVE STE B		PINE BLUFF	AR	71603-5081	07/01/2024
CH060940	DOCTORS ORDERS PHARMACY #4	WHITEHALL PHARMACY LLC	2701 E HARDING AVE	PINE BLUFF	AR	71601	07/01/2024
CH060940	DOGWOOD PHARMACY LLC	D/B/A MEDSCRIPTS MEDICAL PHARMACY	1325 MILLER RD STE K	GREENVILLE	SC	29607-6541	01/01/2024
CH060940	DUNCAN CLINIC PHARMACY	1111 MEDICAL CENTER CIRCLE		MAYFIELD	KY	42066	04/01/2018	12/01/2019
CH060940	DUNCAN PRESCRIPTION CENTER	1520 CUBA RD		MAYFIELD	KY	42066	04/01/2018
CH060940	DUNCAN SPECIALTY PHARMACY	1522 CUBA RD		MAYFIELD	KY	42066	04/01/2018	12/01/2019
CH060940	ECONO-MART PHARMACY INC	1595 HARRISON ST		BATESVILLE	AR	72501	01/01/2015
CH06094L	ECONO-MART PHARMACY INC	1595 HARRISON ST		BATESVILLE	AR	72501	09/12/2009	08/18/2023
CH060940	ENTRUSTRX	4284 NEW GETWELL ROAD		MEMPHIS	TN	38118	01/01/2017	05/31/2018
CH060940	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	10/01/2020
CH060940	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	10/01/2020
CH060940	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	10/01/2020
CH060940	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	10/01/2020
CH060940	FAMILY FIRST PHARMACY	HEJNY ENTERPRISES INC	1300 BRADEN ST	JACKSONVILLE	AR	72076-3719	07/01/2025
CH060940	FORREST CITY FAMILY PHARMACY	2307 N WASHINGTON ST		FORREST CITY	AR	72335-1800	10/01/2019	09/30/2024
CH060940	FORREST CITY FAMILY PHARMACY	1111 N WASHINGTON ST		FORREST CITY	AR	72335	10/01/2024
CH060940	FRED'S PHARMACY	901 DEWITT HENRY BLVD.		BEEBE	AR	72012	01/01/2017	11/30/2019
CH060940	FRED'S PHARMACY	308 S 7TH ST		HEBER SPRINGS	AR	72543-3719	01/01/2017	10/08/2019
CH060940	FRED'S PHARMACY	15700 ARCH ST		LITTLE ROCK	AR	72206-6105	01/01/2017	11/19/2018
CH060940	FRED'S PHARMACY #1096	170 HWY 167		BALD KNOB	AR	72010	01/01/2017	10/16/2019
CH060940	FRED'S PHARMACY #1216	207 S 2ND ST		CABOT	AR	72023-2919	01/01/2017	11/14/2018
CH060940	FRED'S PHARMACY #1311	1125 MORNINGSIDE DRIVE		CONWAY	AR	72034	01/01/2017	11/19/2018
CH060940	FRED'S PHARMACY #1661	1131 N CHARLYNE AVE		BRINKLEY	AR	72021-2105	01/01/2017	10/16/2019
CH060940	FRED'S PHARMACY #1719	57 SOUTH BROADVIEW		GREENBRIER	AR	72058	01/01/2017	11/26/2018
CH060940	FRED'S PHARMACY #2021	4212 E JOHNSON AVE		JONESBORO	AR	72401-8838	01/01/2017	11/19/2018
CH060940	FRED'S PHARMACY #2529	652 HWY 365		MAYFLOWER	AR	72106	01/01/2017	11/28/2018
CH060940	FRED'S PHARMACY #2641	170 HIGHWAY 15 NORTH	P.O. BOX 824	PONTOTOC	MS	38863	10/01/2017	04/30/2019
CH060940	FRED'S PHARMACY #2916	2706 EAST RACE AVENUE		SEARCY	AR	72143	01/01/2017	11/16/2018
CH060940	FRED'S PHARMACY #3179	10 EAGLE STREET		VILONIA	AR	72173	01/01/2017	11/30/2019
CH060940	FRED'S XPRESS #1866	1301 N ILLINOIS ST		HARRISBURG	AR	72432-3021	01/01/2017	09/23/2019
CH060940	FREDS PHARMACY	245 EAST OAK STREET		CONWAY	AR	72032	01/01/2017	11/27/2018
CH060940	FREDS PHARMACY	2227 N WASHINGTON		FORREST CITY	AR	72335	01/01/2017	11/13/2018
CH060940	FREDS PHARMACY	2308 S CARAWAY		JONESBORO	AR	72401	01/01/2017	11/27/2018
CH060940	FUTRELL PHARMACY	115 E BROADWAY ST		POCAHONTAS	AR	72455-3402	07/01/2017	08/01/2021
CH060940	GENOA HEALTHCARE LLC	425 BROADWAY ST STE P		PADUCAH	KY	42001	10/01/2023
CH060940	GENOA HEALTHCARE LLC	1525 CUBA RD STE P		MAYFIELD	KY	42066	10/01/2023
CH060940	GENOA HEALTHCARE LLC	2904 ARKANSAS BLVD, STE 116		TEXARKANA	AR	71854-2536	10/01/2023
CH060940	GENOA HEALTHCARE LLC	10025 WEST MARKHAM	SUITE 135	LITTLE ROCK	AR	72205	10/01/2023
CH060940	GENOA HEALTHCARE LLC	4 EXECUTIVE CENTER COURT	SUITE A	LITTLE ROCK	AR	72211-4487	10/01/2023
CH060940	GETWELL RX, LLC	123 S. 2ND ST.		CABOT	AR	72023	10/01/2019
CH060940	GIBSON'S LLC	1206 PARIS RD		MAYFIELD	KY	42066-4989	10/01/2020	09/22/2022
CH060940	GIBSON'S PHARMACY OF CRAIGHEAD COUNTY IN	GIBSONS PHARMACY OF CRAIGHEAD CO INC	403 E MATTHEWS AVE	JONESBORO	AR	72401-3142	09/01/2010
CH060940	GREYSTONE RX	15361 HWY 5 SUITE F		CABOT	AR	72023	04/01/2016
CH060940	HARP'S PHARMACY #114	801 N 2ND ST		CABOT	AR	72023-2547	04/01/2016
CH060940	HARP'S PHARMACY #119	2894 W SUNSET AVE		SPRINGDALE	AR	72762-4940	07/01/2020
CH060940	HARP'S PHARMACY #176	1189 N GARLAND AVE		FAYETTEVILLE	AR	72703-1682	07/01/2020
CH060940	HARPS PHARMACY	1007 JONES RD		SPRINGDALE	AR	72762-0705	07/01/2020
CH060940	HARPS PHARMACY #124	1274 N COLORADO DR		FAYETTEVILLE	AR	72704-6505	07/01/2020
CH060940	HARPS PHARMACY #136	2525 W BEEBE CAPPS EXPY		SEARCY	AR	72143-4909	04/01/2015
CH060940	HARPS PHARMACY #144	1120 E GERMAN LN		CONWAY	AR	72032-4555	04/01/2015
CH060940	HARPS PHARMACY #163	901 W MAIN ST		HEBER SPRINGS	AR	72543	04/01/2016
CH060940	HEALTH-WAY PHARMACY, INC.	803 HIGHWAY 367 N	PO BOX 700	JUDSONIA	AR	72081-9725	09/08/2010
CH060940	HIGHLAND PARK CVS, L.L.C.	CVS/PHARMACY # 10951	3319 NAMEOKI RD.	GRANITE CITY	IL	62040	01/01/2021	04/01/2025
CH060940	HIGHLAND PARK CVS, L.L.C.	DBA: CVS/PHARMACY # 03188	ONE SOUTH COMMERCIAL STREET	HARRISBURG	IL	62946	01/01/2021	04/01/2025
CH060940	HILLTOP FAMILY PHARMACY	1706 VISIONS AVENUE		JONESBORO	AR	72405	07/01/2018	05/31/2019
CH060940	HOOK-SUPERX, L.L.C.	DBA: CVS/PHARMACY # 06623	201 S. TILLOTSON AVENUE	MUNCIE	IN	47304	07/01/2021	04/01/2025
CH060940	HORSESHOE HEALTH AND MEDICINE	600 MARKET ST		HORSESHOE BEND	AR	72512	10/01/2014
CH060940	INFINITY COMPOUNDING SOLUTIONS, LLC	DBA INFINITY CARE SOLUTIONS	1204 SE 28TH ST STE 2	BENTONVILLE	AR	72712-3887	10/01/2015	07/01/2019
CH060940	INVERNESS APOTHECARY TRINITY	24333 GORDON TERRY PARKWAY	SUITE B	TRINITY	AL	35673	01/01/2018	02/26/2020
CH060940	IVY FAMILY PHARMACY, INC.	DBA FAMILY DISCO PHARMACY	120 S 4TH ST	HEBER SPRINGS	AR	72543-7254	01/01/2024
CH060940	JOE'S PHARMACY EXPRESS	2412 E RACE AVE STE F		SEARCY	AR	72143-4780	07/01/2013	12/18/2020
CH060940	JOHNSON PHARMACY INC	6124 HEBER SPRINGS RD W		QUITMAN	AR	72131-0164	04/01/2020
CH060940	K MART CORPORATION	K MART PHARMACY #3103	2440 LONE OAK ROAD	PADUCAH	KY	42001	07/01/2017	02/02/2018
CH060940	KENTUCKY CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 06376	538 LONE OAK RD.	PADUCAH	KY	42003	07/01/2020
CH060940	KENTUCKY CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04637	1021 WEST MAIN STREET	PRINCETON	KY	42445	01/01/2021
CH060940	KENTUCKY CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 06423	1122 LOVERS LANE	BOWLING GREEN	KY	42103	01/01/2021	04/01/2025
CH060940	KENTUCKY CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02352	100 N. 12TH ST	MURRAY	KY	42071	01/01/2021
CH060940	KENTUCKY CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 06379	3275 IRVIN COBB DR.	PADUCAH	KY	42003	01/01/2021
CH060940	KENTUCKY CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02586	3001 LONE OAK ROAD	PADUCAH	KY	42003	01/01/2021
CH060940	KENTUCKY CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY # 10050	405 MAIN ST.	BENTON	KY	42025	07/01/2021
CH060940	KENTUCKY CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 06380	100 SOUTH 6TH STREET	MAYFIELD	KY	42066	07/01/2021
CH060940	KENTUCKYCARE PHARMACY 62	125 S 20TH ST		PADUCAH	KY	42001-7100	01/01/2014	07/01/2019
CH060940	KMART PHARMACY #3933	#1 KMART PLAZA	STATE HWY 89	CABOT	AR	72023	07/01/2017	02/02/2018
CH060940	KROGER FOOD & PHARMACY	808 NORTH 12TH STREET		MURRAY	KY	42071	10/01/2019
CH060940	KROGER FOOD & PHARMACY #473	2013 UNIVERSITY AVE		OXFORD	MS	38655	04/01/2020	10/17/2021
CH060940	KROGER FOOD & PHARMACY #473	2013 UNIVERSITY AVE		OXFORD	MS	38655	07/01/2024
CH060940	KROGER LIMITED PARTNERSHIP I	DBA: KROGER PHARMACY	1725 S. CARAWAY RD	JONESBORO	AR	72401	10/18/2011
CH060940	Kroger Pharmacy	Jeffersonville Central Fill Facility	301 Logistics Ave Suite 200	Jeffersonville	IN	47130	07/01/2024
CH060940	KROGER PHARMACY #576	301 PINE BLUFF HIGHWAY		ENGLAND	AR	72046	10/18/2011	07/16/2021
CH060940	KROGER PHARMACY #613	1295 WEST MAIN STREET		CABOT	AR	72023	10/18/2011
CH060940	KROGER PHARMACY #625	855 SALEM RD		CONWAY	AR	72034	07/01/2019
CH060940	KROGER PHARMACY #638	4401 CAMP ROBINSON ROAD	SUITE C	NORTH LITTLE ROCK	AR	72118	07/01/2019
CH060940	KROGER PHARMACY #652	101 WEST OAK ST		CONWAY	AR	72032	07/01/2024
CH060940	KROGER PHARMACY #687	303 S SAINT LOUIS ST		BATESVILLE	AR	72501-3555	10/18/2011
CH060940	KROGER PHCY #414	3141 PARK AVE		PADUCAH	KY	42002	07/01/2019
CH060940	LACKIE DRUG STORE INC	LACKIE DRUG STORE	719 N CENTER ST P.O. BOX 167	LONOKE	AR	72086-2547	10/01/2014	01/01/2024
CH060940	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09752	375 GELLERT BLVD	DALY CITY	CA	94015	01/01/2021	04/01/2025
CH060940	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09959	1560 W VALLEY PKWY	ESCONDIDO	CA	92029	01/01/2021	04/01/2025
CH060940	LOUISIANA CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY #1924	20501 OLD SCENIC HWY	ZACHARY	LA	70791-7365	01/01/2021	04/01/2025
CH060940	LOUISIANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05330	1305 GAUSE BLVD.	SLIDELL	LA	70458	01/01/2021	04/01/2025
CH060940	LYONS DRUG STORE	115 W FRONT ST.		LONOKE	AR	72086	01/01/2015
CH06094G	LYONS DRUG STORE	115 W FRONT ST.		LONOKE	AR	72086	11/17/2009	08/18/2023
CH06094AN	LYONS DRUG STORE	115 W FRONT ST.		LONOKE	AR	72086	07/01/2014	08/18/2023
CH060940	MARSHALL ROAD PHARMACY	GARY BENTON , INC.	811 MARSHALL RD	JACKSONVILLE	AR	72076-3744	01/01/2019	10/11/2019
CH060940	MISSISSIPPI CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07065	135 HIGHWAY15, NORTH	PONTOTOC	MS	38863	01/01/2021
CH060940	MISSISSIPPI CVS PHARMACY, L.L.C.	DBA CVS/PHARMACY # 6031	1912 JACKSON AVE. W	OXFORD	MS	38655	07/01/2021
CH060940	MISSISSIPPI CVS PHARMACY, L.L.C.	CVS/PHARMACY # 11085	575 CRAFT ST	HOLLY SPRINGS	MS	38635	01/01/2022
CH060940	MONTGOMERY DRUGS	349 HIGHWAY 15 N		PONTOTOC	MS	38863-1105	04/01/2018
CH060940	NORMAN & BAKER PHARMACY	2200 MALCOLM AVE STE D		NEWPORT	AR	72112-3697	09/08/2010
CH060940	NW CABOT LLC	EXPRESS RX OF CABOT	1848 W MAIN ST SUITE B	CABOT	AR	72023	01/01/2025
CH060940	O J PHARMACY INC	DBA WALTER'S PHARMACY	604 S 12TH ST	MURRAY	KY	42071-2916	07/01/2019	07/01/2019
CH060940	ONCO360	SINA DRUG, LLC	4700 W SAM HOUSTON PKWY N STE 150	HOUSTON	TX	77041	04/01/2025
CH060940	OPTUM PHARMACY 700, LLC	5700 DOT COM CT, STE 1000		OVIEDO	FL	32765	10/01/2023
CH060940	OPTUM PHARMACY 700, LLC	19 CHAPIN RD BLDG D, STE D8		PINE BROOK	NJ	07058	10/01/2023
CH060940	OPTUM PHARMACY 701, LLC	8131 W BOSTIAN RD STE A350		WOODINVILLE	WA	98072-5029	10/01/2023
CH060940	OPTUM PHARMACY 701, LLC	4100 S SAGINAW ST STE D		FLINT	MI	48507	10/01/2023
CH060940	OPTUM PHARMACY 702, LLC	1050 PATROL RD		JEFFERSONVILLE	IN	47130	10/01/2023
CH060940	OPTUM PHARMACY 704, INC.	5627 UNIVERSITY HTS STE 108		SAN ANTONIO	TX	78249	10/01/2023
CH060940	OPTUM PHARMACY 705, LLC	3539 BLUECUTT RD		COLUMBUS	MS	39705	10/01/2023
CH060940	OPTUM PHARMACY 705, LLC	1100 LEE BRANCH LN		BIRMINGHAM	AL	35242-7298	10/01/2023
CH060940	OPTUM PHARMACY 705, LLC	1893 GENERAL GEORGE PATTON DR	STE 106	FRANKLIN	TN	37067-2655	10/01/2023
CH060940	OPTUM PHARMACY 801, INC.	24416 N 19TH AVE	STE. 100	PHOENIX	AZ	85085	10/01/2023
CH060940	OPTUMRX	OPTUMRX INC	6800 W 115TH ST STE 600	OVERLAND PARK	KS	66211-9838	10/01/2023
CH060940	PALACE DRUG	313 MAIN ST		DES ARC	AR	72040	11/09/2023
CH060940	PALACE DRUG STORE	HARVEY,RAY	313 MAIN ST PO BOX 1071	DES ARC	AR	72040	01/01/2015	11/09/2023
CH06094B	PALACE DRUG STORE	HARVEY,RAY	313 MAIN ST PO BOX 1071	DES ARC	AR	72040	05/01/2008	08/18/2023
CH060940	PARKER ROAD SPECIALITY PHARMACY	1109 W PARKER RD		JONESBORO	AR	72404	01/01/2020	09/03/2020
CH060940	PHPH, LLC	DBA PRICE HARRIS PHARMACY	313 ARKANSAS ST	FORREST CITY	AR	72335-2125	07/01/2017	01/21/2021
CH060940	PILCHER INC DBA S & H PHARMACY	711 N EDMONDS AVE	P O BOX 436	MCCRORY	AR	72101	07/01/2016	12/19/2024
CHC11368-01	POLK PHARMACY-ENGLAND	104 STUTTGART HWY		ENGLAND	AR	72046	09/02/2009	12/13/2022
CH060940	POLK PHARMACY-ENGLAND	104 STUTTGART HWY		ENGLAND	AR	72046	10/01/2020	12/13/2022
CH060940	PREMIER PHARMACY SERVICES	410 CLOVERLEAF DR		BALDWIN PARK	CA	91706	01/01/2019	01/12/2022
CH060940	PRESCRIPTION SHOP DBA J&B KELLY, INC	202 S LIVERMORE		HAZEN	AR	72064	04/05/2011	11/19/2018
CH06094F	PRESCRIPTION SHOP DBA J&B KELLY, INC	202 S LIVERMORE		HAZEN	AR	72064	11/17/2009	11/19/2018
CH060940	PRN PHARMACEUTICAL SERVICES, LP	OMNICARE OF INDIANAPOLIS	8351 ROCKVILLE RD	INDIANAPOLIS	IN	46234	01/01/2021
CH060940	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	07/01/2020
CH060940	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	01/01/2021
CH060940	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	01/01/2021
CH060940	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2751	426 S. HENDERSON STREET	FORT WORTH	TX	76104	01/01/2021
CH060940	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY OR CARELONRX SPECIALTY	ONE WATERFRONT PLAZA 500 ALA MOANA BLVD., BLDG 1	HONOLULU	HI	96813	01/01/2021
CH060940	R2H2 BUSINESS ENTERPRISES	DBA REEDHUTCHINS PHARMACY	408 W. MAIN ST.	HEBER SPRINGS	AR	72543	07/01/2019
CH060940	RAINA RX LLC	DBA ROUTE 300 PHARMACY	1208 ROUTE 300 SUITE 103	NEWBURGH	NY	12550	01/01/2024
CH060940	REEVES SAIN DRUG STORE	ENTRUSTRX	2001 CAMPBELL STATION PKWY SUITE A5	SPRING HILL	TN	37174	01/01/2017	04/30/2019
CH060940	REEVES SAIN DRUG STORE	DBA ENTRUST RX	402 WILKINS WISE ROAD SUITE 38	COLUMBUS	MS	39705	01/01/2017	04/30/2019
CH060940	RIVER MEDICAL PHARMACY LLC	4752 RESEARCH DR		SAN ANTONIO	TX	78240-5002	01/01/2024
CH060940	SANTA BARBARA SPECIALTY PHARMACY LLC	4690 CARPINTERIA AVE STE B		CARPINTERIA	CA	93013	01/01/2024
CH060940	SAV-ON PHARMACY, LLC	1610 HARRISON ST		BATESVILLE	AR	72501-7301	04/01/2016
CH060940	SINA DRUG LLC	D/B/A ONCO 360	13410 EASTPOINT CENTRE DR STE 101	LOUISVILLE	KY	40223	04/01/2025
CH060940	SOO'S DRUG	2822 E NETTLETON AVE		JONESBORO	AR	72401-4531	01/01/2020	11/18/2020
CH060940	SPECIALTY CARE RX, LLC	150 COLLINS ST		MEMPHIS	TN	38112	01/01/2018	02/26/2020
CH060940	ST. FRANCIS DISCOUNT PHARMACY LLC	ST. FRANCIS DISCOUNT PHARMACY LLC	1132 N WASHINGTON ST	FORREST CITY	AR	72335	01/01/2024
CH060940	ST. FRANCIS PHARMACY	210 COBEAN BLVD STE 10		LAKE CITY	AR	72437-9704	01/01/2015	02/02/2021
CH06094N	ST. FRANCIS PHARMACY	210 COBEAN BLVD STE 10		LAKE CITY	AR	72437-9704	05/15/2008	02/02/2021
CH060940	STANLEY AND TURNER DRUG COMPANY	DBA STANLEY PHARMACY COMPOUNDING CENTER	2413 W BEEBE CAPPS EXPY	SEARCY	AR	72143	10/01/2015
CH060940	STANLEY PHARMACY	2007 W BEEBE CAPPS EXPY	STAN-KEL PHARMACIES, INC	SEARCY	AR	72143-5014	10/01/2015
CH060940	STEPHEN L. LA FRANCE PHARMACY, INC.	DBA: WALGREENS #15819	1540 E RACE AVENUE	SEARCY	AR	72143	10/01/2015	06/28/2017
CH060940	STONE'S DRUGS, INC.	DBA: STONE'S HEALTHMART	414 S 9TH ST DBA STONE'S HEALTHMART	MAYFIELD	KY	42066	07/01/2017	05/07/2023
CH060940	STONES PHARMACY	417 E MATTHEWS AVE		JONESBORO	AR	72401	10/01/2018
CH060940	STOTTS DRUG STORE INC	103 W ARCH AVE		SEARCY	AR	72143	10/01/2017	04/01/2021
CH060940	STOTTS FAMILY PHARMACY	103 W. ARCH AVE		SEARCY	AR	72143	07/01/2024
CH060940	STRAWBERRY HILLS PHARMACY	STRAWBERRYHILLS	2670 NEW HOLT RD STE D	PADUCAH	KY	42001	07/01/2019	07/01/2019
CH060940	STRAWBERRY HILLS PHARMACY SOUTH SIDE	3837 CLARKS RIVER RD		PADUCAH	KY	42003	07/01/2019	07/01/2019
CH060940	SUPER D DRUGS ACQUISITION CO.	DBA: WALGREENS #15852	1328 STADIUM BLVD	JONESBORO	AR	72401	07/01/2016	04/26/2019
CH06094AC	SUPER D DRUGS ACQUISITION CO.	DBA: WALGREENS #15852	1328 STADIUM BLVD	JONESBORO	AR	72401	07/01/2010	04/26/2019
CH06094AA	SUPER D EXPRESS RX		533 W NETTLETON	JONESBORO	AR	72401	05/09/2009	04/26/2019
CH060940	SUTTON DRUGS	234 BROADWAY		LA CENTER	KY	42056	10/01/2021	11/01/2022
CH060940	TENNESSEE CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07771	6616 GREENFIELD HWY 54	DRESDEN	TN	38225	07/01/2021
CH060940	THILO PHARMACY SERVICES, LLC	MAYFLOWER FAMILY PHARMACY	616B HIGHWAY 365	MAYFLOWER	AR	72106-9630	07/01/2019
CH06094V	USA DRUG		1540 E RACE AVE	SEARCY	AR	72143	05/28/2009	01/30/2018
CH06094I	USA DRUG EXPRESS		1920 MALCOLM AVE	NEWPORT	AR	72112	05/01/2008	01/30/2018
CH06094X	USA DRUG EXPRESS		1920 MALCOLM AVE	NEWPORT	AR	72112	05/01/2008	01/30/2018
CH060940	USA Drug Express 2032	3130 E. RACE ST.		SEARCY	AR	72143	09/10/2010	04/01/2017
CH060940	VILONIA FAMILY PHARMACY	1122 MAIN ST STE 14		VILONIA	AR	72173	07/01/2017	02/25/2023
CH060940	VITAL RX LLC	237 CAHABA VALLEY PARKWAY		PELHAM	AL	35124	01/01/2018	02/26/2020
CH060940	VITAL RX OF LOUISIANA	6200 LESLIE LN		LAKE CHARLES	LA	70615	01/01/2018	02/26/2020
CH060940	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	10/01/2017
CH060940	WAL-MART PHARMACY #10-6971	240 SLACK STREET		PEA RIDGE	AR	72751	10/01/2023
CH060940	WAL-MART PHARMACY 10-0005	1155 HWY 65 NORTH		CONWAY	AR	72032	01/01/2018
CH060940	WAL-MART PHARMACY 10-0011	65 WAL-MART DRIVE		MOUNTAIN HOME	AR	72653	10/01/2023
CH060940	WAL-MART PHARMACY 10-0018	1211 HIGHWAY 367 N		NEWPORT	AR	72112	07/23/2012
CH060940	WAL-MART PHARMACY 10-0024	2000 JOHN HARDEN DRIVE		JACKSONVILLE	AR	72076	10/01/2018
CH060940	WAL-MART PHARMACY 10-0045	1815 EAST HIGHLAND ST		JONESBORO	AR	72401	07/23/2012
CH060940	WAL-MART PHARMACY 10-0052	1601 ALBERT PIKE BLVD		HOT SPRINGS	AR	71913	07/01/2020	07/06/2020
CH060940	WAL-MART PHARMACY 10-0054	2004 S. PLEASANT		SPRINGDALE	AR	72764	10/01/2020
CH060940	WAL-MART PHARMACY 10-0057	1600 WEST MAIN STREET		WALNUT RIDGE	AR	72476	07/01/2018
CH060940	WAL-MART PHARMACY 10-0068	800 HWY 64 EAST		WYNNE	AR	72396	07/23/2012
CH060940	WAL-MART PHARMACY 10-0091	205 DEADRICK ROAD		FORREST CITY	AR	72335	07/23/2012
CH060940	WAL-MART PHARMACY 10-0102	406 EAST 22ND STREET		STUTTGART	AR	72160	07/23/2012	09/17/2022
CH060940	WAL-MART PHARMACY 10-0119	3150 HARRISON ST		BATESVILLE	AR	72501	07/23/2012
CH060940	WAL-MART PHARMACY 10-0128	1911 WEST PARKER ROAD		JONESBORO (WEST)	AR	72404	07/23/2012
CH060940	WAL-MART PHARMACY 10-0144	2875 MARTIN LUTHER KING, JR BLVD		FAYETTEVILLE	AR	72704	07/01/2020	09/17/2022
CH060940	WAL-MART PHARMACY 10-0153	202 PARK PLAZA		NEW ALBANY	MS	38652	07/01/2024
CH060940	WAL-MART PHARMACY 10-0157	3509 EAST RACE AVENUE		SEARCY	AR	72143	07/23/2012
CH060940	WAL-MART PHARMACY 10-0157	3509 EAST RACE AVENUE		SEARCY	AR	72143	07/23/2012	08/01/2015
CH060940	WAL-MART PHARMACY 10-0160	219 US HIGHWAY 412		ASH FLAT	AR	72513	01/01/2017	09/17/2022
CH060940	WAL-MART PHARMACY 10-0164	100 MCCORD ROAD		PONTOTOC	MS	38863	10/01/2017
CH060940	WAL-MART PHARMACY 10-0169	322 BROWNSVILLE LOOP		LONOKE	AR	72086	07/23/2012
CH060940	WAL-MART PHARMACY 10-0229	512 INDUSTRIAL DRIVE		TRUMANN	AR	72472	07/23/2012
CH060940	WAL-MART PHARMACY 10-0281	1500 HIGHWAY 25B NORTH		HEBER SPRINGS	AR	72543	07/23/2012
CH060940	WAL-MART PHARMACY 10-0410	809 NORTH 12TH STREET		MURRAY	KY	42071	10/01/2019
CH060940	WAL-MART PHARMACY 10-0430	1225 PARIS ROAD		MAYFIELD	KY	42066	10/01/2023
CH060940	WAL-MART PHARMACY 10-0431	3220 IRVING COBB DRIVE		PADUCAH	KY	42003	04/01/2015
CH060940	WAL-MART PHARMACY 10-0468	133 ARKANSAS BLVD		TEXARKANA	AR	71854	10/01/2023
CH060940	WAL-MART PHARMACY 10-0491	5130 HINKLEVILLE ROAD		PADUCAH	KY	42001	07/01/2018
CH060940	WAL-MART PHARMACY 10-0699	2530 W. JACKSON AVENUE		OXFORD	MS	38655	10/01/2023
CH060940	WAL-MART PHARMACY 10-2431	1330 WEST BEEBE CAPPS EXPRESSWAY		SEARCY	AR	72143	01/01/2018
CH060940	WAL-MART PHARMACY 10-2575	3900 DAVE WARD DRIVE		CONWAY (SOUTH)	AR	72032	07/01/2018
CH060940	WAL-MART PHARMACY 10-2587	304 SOUTH ROCKWOOD		CABOT	AR	72023	07/23/2012
CH060940	WAL-MART PHARMACY 10-3168	2550 PRINCE ST.		CONWAY	AR	72034	10/01/2023
CH060940	WAL-MART PHARMACY 10-4108	4870 ELM SPRINGS ROAD		SPRINGDALE	AR	72762	07/01/2020
CH060940	WAL-MART PHARMACY 10-4168	2003 WEST CENTER ST.		BEEBE	AR	72012	01/01/2018
CH060940	WAL-MART PHARMACY 10-4460	12001 MAUMELLE BLVD		N. LITTLE ROCK	AR	72113	07/01/2020
CH060940	WAL-MART PHARMACY 10-5315	2354 COMMERCE PARK DR.		ORLANDO	FL	32819	07/01/2024
CH060940	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	10/01/2017
CH060940	WAL-MART PHARMACY 10-7242	367 W. MAIN STREET		FARMINGTON	AR	72730	07/01/2020
CH060940	WALGREEN CO	DBA: WALGREENS #10059	1325 W MAIN ST	CABOT	AR	72023-2458	04/01/2014
CH060940	WALGREEN CO	DBA: WALGREENS #11161	2401 MALCOLM AVE	NEWPORT	AR	72112	04/01/2014	04/01/2025
CH060940	WALGREEN CO	DBA: WALGREENS #11344	2110 N WASHINGTON ST	FORREST CITY	AR	72335-1846	04/01/2014	05/01/2023
CH060940	WALGREEN CO	DBA: WALGREENS #11933	15500 CHENAL PARKWAY	LITTLE ROCK	AR	72211	10/01/2016
CH060940	WALGREEN CO.	DBA: WALGREENS # 01952	1330 S CARAWAY ROAD	JONESBORO	AR	72401	04/01/2014	04/01/2025
CH060940	WALGREEN CO.	DBA: WALGREENS # 02364	819 W. MAIN ST	JACKSONVILLE	AR	72076-4435	04/01/2014
CH060940	WALGREEN CO.	DBA: WALGREENS # 04794	850 OAK STREET	CONWAY	AR	72032	04/01/2014
CH060940	WALGREEN CO.	DBA: WALGREENS # 06765	108 E HIGHLAND DRIVE	JONESBORO	AR	72401-5940	04/01/2014
CH060940	WALGREEN CO.	DBA: WALGREENS # 09766	200 E RACE AVE	SEARCY	AR	72143	04/01/2014
CH060940	WALGREEN CO.	DBA: WALGREENS # 09880	1500 W KINGS HWY	PARAGOULD	AR	72450-4009	04/01/2014
CH060940	WALGREEN CO.	DBA: WALGREENS #12417	1045 S. ST. LOUIS ST.	BATESVILLE	AR	72501	04/01/2014
CH060940	WALGREEN CO.	DBA: WALGREENS # 06429	521 LONE OAK ROAD	PADUCAH	KY	42003	10/01/2015
CH060940	WALGREEN CO.	DBA: WALGREENS # 09253	3360 IRVING COBB DR	PADUCAH	KY	42003	10/01/2015
CH060940	WALGREEN CO.	DBA: WALGREENS # 05993	111 N BOWMAN RD	LITTLE ROCK	AR	72211	10/01/2016
CH060940	WALGREEN CO.	DBA: WALGREENS # 10364	9200 N RODNEY PARHAM RD	LITTLE ROCK	AR	72227-6202	10/01/2016
CH060940	WALGREEN CO.	WALGREENS #15791	1601 MAIN STREET	LITTLE ROCK	AR	72206	04/01/2018
CH060940	WALGREEN CO.	DBA: WALGREENS #12738	3901 W MARKHAM	LITTLE ROCK	AR	72205	04/01/2018
CH060940	WALGREEN CO.	WALGREENS #15714	500 S UNIVERSITY AVE GRND FL	LITTLE ROCK	AR	72205	07/01/2018
CH060940	WALGREEN CO.	DBA: WALGREENS # 10170	505 SALEM ROAD	CONWAY	AR	72034-4815	10/01/2018
CH060940	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #16545	1200 JOHN BARROW RD STE 102	LITTLE ROCK	AR	72205	01/01/2019
CH060940	WALGREEN CO.	DBA: WALGREENS #12418	115 COMMONS DR	MAUMELLE	AR	72113	04/01/2019
CH060940	WALGREEN CO.	DBA: WALGREENS # 03416	4823 JFK BLVD	NORTH LITTLE ROCK	AR	72116	04/01/2019
CH060940	WALGREEN CO.	DBA: WALGREENS # 03412	5917 BASELINE RD	LITTLE ROCK	AR	72209	04/01/2019	04/01/2025
CH060940	WALGREEN CO.	DBA: WALGREENS #12090	635 S 6TH ST	MAYFIELD	KY	42066	07/01/2019
CH060940	WALGREEN CO.	WALGREENS #15852	1328 RED WOLF BLVD	JONESBORO	AR	72401	04/15/2019
CH060940	WALGREEN CO.	DBA: WALGREENS # 09150	1205 MAIN ST	MURRAY	KY	42071	10/01/2019
CH060940	WALGREEN CO.	DBA WALGREENS #13118	4015 WEST WEDINGTON DRIVE	FAYETTEVILLE	AR	72704	07/01/2020
CH060940	WALGREEN CO.	DBA: WALGREENS #13811	3251 W. SUNSET AVE.	SPRINGDALE	AR	72762	07/01/2020
CH060940	WALGREEN CO.	DBA: WALGREENS # 07847	524 S SCHOOL AVE	FAYETTEVILLE	AR	72701-5957	07/01/2020
CH060940	WALGREEN CO.	DBA: WALGREENS # 07757	1808 UNIVERSITY AVE	OXFORD	MS	38655-4112	10/01/2021
CH060940	WALGREEN CO.	DBA: WALGREENS # 05730	3710 S. UNIVERSITY AVE	LITTLE ROCK	AR	72204	10/01/2021
CH060940	WALGREEN CO.	WALGREENS #15792	8815 STAGECOACH RD	LITTLE ROCK	AR	72210	10/01/2022	04/01/2025
CH060940	WALGREEN CO.	DBA: WALGREENS # 04017	8521 HWY. 107	SHERWOOD	AR	72120	10/01/2022
CH060940	WALGREEN CO.	DBA: WALGREENS # 09743	350 HWY 62 EAST	MOUTAIN HOME	AR	72653-3629	10/01/2022
CH060940	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #16372	532 S 4TH ST UNIT 532	LOUISVILLE	KY	40202	10/01/2023
CH060940	WALGREEN CO.	DBA; WALGREENS #12670	3234 E. ROBINSON AVE	SPRINGDALE	AR	72764	10/01/2023
CH060940	WALGREEN CO.	DBA: WALGREENS # 06959	702 MILITARY ROAD	BENTON	AR	72015	10/01/2023
CH060940	WALGREEN CO.	DBA: WALGREENS # 05041	2002 S THOMPSON STREET	SPRINGDALE	AR	72764	10/01/2023
CH060940	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #15317	1424 UNION AVE	MEMPHIS	TN	38104	10/01/2023
CH060940	WALGREEN CO.	DBA WALGREENS SPECIALTY PHARMACY #21170	393 WALLER AVE STE 5	LEXINGTON	KY	40504	10/01/2023
CH060940	WALGREEN CO.	DBA: WALGREENS # 05789	1800 N MISSOURI ST STE 2	WEST MEMPHIS	AR	72301	10/01/2023
CH060940	WALGREEN CO.	WALGREENS #21379	5905 DOLLARWAY RD	PINE BLUFF	AR	71602	10/01/2024
CH060940	Walgreens #21373	Walgreens Central Fill #21373	4100 Dale Earnhardt Way STE 200	Northlake	TX	76262	01/01/2022
CH060940	WALGREENS MAIL SERVICE, INC.	8350 S RIVER PARKWAY		TEMPE	AZ	85284	04/01/2014	06/15/2015
CH060940	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	01/01/2024
CH060940	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	01/01/2024
CH060940	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	01/01/2024
CH060940	WALMART PHARMACY 10-4375	4900 JENNIFER TERRACE		SPRINGDALE	AR	72762	07/01/2020
CH060940	WALMART PHARMACY 10-4516	660 WEST MARTIN LUTHER KING BOULEVARD		FAYETTEVILLE	AR	72701	07/01/2020
CH060940	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	04/01/2023
CH060940	WALMART PHARMACY 10-6876	3319 HARRISBURG ROAD		JONESBORO	AR	72404	07/01/2018
CH060940	WALMART PHARMACY 10-6943	2811 CREEK DR.		JONESBORO	AR	72401	01/01/2018
CH060940	WALMART PHARMACY 10-6975	1203 SOUTH PINE STREET		CABOT	AR	72023	10/01/2023
CH060940	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024
CH060940	WEST END ASSOCIATES INC	619 W NETTLETON AVE		JONESBORO	AR	72401-3970	01/01/2020	11/18/2020
CH060940	WEST SIDE PHARMACY INC	620 C WEST SOUTH ST		BENTON	AR	72015	01/01/2019	10/15/2018
CH060940	WEST SIDE PHARMACY INCORPORATED	WEST SIDE PHARMACY INCORPORATED	620 W SOUTH ST STE C	BENTON	AR	72015-4235	01/01/2019
CH060940	WESTSIDE FAMILY PHARMACY	WESTSIDE HEALTHMART PHARMACY	3819 W. SUNSET AVE.	SPRINGDALE	AR	72762	07/01/2020	07/02/2020
CH060940	WHITE HALL PHARMACY LLC, DBA DOCTOR'S OR	7240 SHERIDAN RD STE 102		WHITE HALL	AR	71602-3224	07/01/2024
CH060940	WHITEHALL PHARMACY LLC DBA DOCTORS ORDER	DBA DOCTOR'S ORDERS PHARMACY #6	5900 DOLLARWAY RD STE B	PINE BLUFF	AR	71602	07/01/2024
CH060940	WILSON WIL-SAV PHARMACY, INC.	5 ALLEN CHAPEL RD		SOUTHSIDE	AR	72501	04/01/2013	10/21/2020
CH060940	WYNNE APOTHECARY	411 FALLS BLVD S		WYNNE	AR	72396	04/01/2018	07/01/2024
CH060940	WYNNE APOTHECARY	500 FALLS BLVD N		WYNNE	AR	72396	07/01/2024

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Authorizing Official	Update	Profile Change Request	WHITEHEAD, TALMAGE J. CFO ARcare 8703472534	WHITEHEAD, TALMAGE J. President/CFO ARcare 8703473414	2/23/2025 8:27 AM
Contacts	Signed By	Update	Profile Change Request	WHITEHEAD, TALMAGE J. CFO ARcare 8703472534	WHITEHEAD, TALMAGE J. President/CFO ARcare 8703473414	2/23/2025 8:27 AM
Details	Last Recertification Date	Update	Recertification	2/7/2024 12:20:55 PM	2/18/2025 9:23:35 AM	2/18/2025 9:23 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	4/3/2024 9:12 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		200009358	4/3/2024 9:12 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		MS	4/3/2024 9:12 AM
Details	Last Recertification Date	Update	Recertification		2/7/2024 12:20:55 PM	2/7/2024 12:20 PM
Addresses	Billing Address	Insert	Group Change Request		ARcare 117 S 2nd St Augusta, AR 72006	12/4/2023 11:52 AM
Details	State	Update		Approved	Active	10/1/2023 12:01 AM
Contacts	Signed By	Insert	New Registration		WHITEHEAD, TALMAGE J. CFO ARcare 8703472534	7/19/2023 12:55 PM
Details	340B ID	Update	New Registration		CH06094CQ	7/19/2023 12:55 PM
Dates	Participating Approval Date	Update	New Registration		7/19/2023 12:55:10 PM	7/19/2023 12:55 PM
Details	State	Update	New Registration	Pending	Approved	7/19/2023 12:55 PM
Dates	Signed By Date	Update	New Registration		7/14/2023 6:53:00 PM	7/19/2023 12:55 PM
Dates	Start Date	Update	New Registration		10/1/2023 12:00:00 AM	7/19/2023 12:55 PM
Addresses	Main Address	Insert	New Registration		232 Starlyn Ave New Albany, MS 38652-2428	7/14/2023 5:15 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1396439899	7/14/2023 5:15 PM
Medicaid Billing	NPI: State	Insert	New Registration		MS	7/14/2023 5:15 PM
Contacts	Authorizing Official	Insert	New Registration		WHITEHEAD, TALMAGE J. CFO ARcare 8703472534	7/14/2023 5:15 PM
Contacts	Primary Contact	Insert	New Registration		Holland, Dallas Director of 340B Compliance ARcare 8703473483	7/14/2023 5:15 PM
Details	Assistance Received From Date	Insert	New Registration			7/14/2023 5:15 PM
Details	Assistance Received To Date	Insert	New Registration			7/14/2023 5:15 PM
Details	Last Recertification Date	Insert	New Registration			7/14/2023 5:15 PM
Details	Grant Number	Insert	New Registration		H80CS00207	7/14/2023 5:15 PM
Details	340B ID	Insert	New Registration			7/14/2023 5:15 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			7/14/2023 5:15 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			7/14/2023 5:15 PM
Details	Medicare Provider Number	Insert	New Registration			7/14/2023 5:15 PM
Details	Entity Name	Insert	New Registration		ARCARE	7/14/2023 5:15 PM
Details	NOFO Number	Insert	New Registration			7/14/2023 5:15 PM
Details	Program Code	Insert	New Registration		CH	7/14/2023 5:15 PM
Details	Entity Subname	Insert	New Registration		MississippiCare - 126	7/14/2023 5:15 PM
Dates	Participating Approval Date	Insert	New Registration			7/14/2023 5:15 PM
Details	State	Insert	New Registration		Pending	7/14/2023 5:15 PM
Dates	Registration Date	Insert	New Registration		7/14/2023 5:15:28 PM	7/14/2023 5:15 PM
Dates	Signed By Date	Insert	New Registration			7/14/2023 5:15 PM
Dates	Start Date	Insert	New Registration			7/14/2023 5:15 PM
Terminations	Termination Comments	Insert	New Registration			7/14/2023 5:15 PM
Terminations	Termination Date	Insert	New Registration			7/14/2023 5:15 PM
Terminations	Termination Effective Date	Insert	New Registration			7/14/2023 5:15 PM
Terminations	Termination Reason	Insert	New Registration			7/14/2023 5:15 PM

340B Drug Pricing Program Database