340B Drug Pricing Program Database
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CH06014L EAST ARKANSAS FAMILY HEALTH CENTER, INC. (Terminated)
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Main Details
Name
EAST ARKANSAS FAMILY HEALTH CENTER, INC.
Subdivision Name
Delta Health Mobile MED
Type
HRSA-Funded Health Center
Site ID
BPS-H80-031368
340B ID
CH06014L
Grant Number
H80CS00123
Additional Details
Current Program Status
Terminated
Registration Date
7/13/2021
Participating Start Date
10/1/2021
Participating Approval Date
7/15/2021
Last Recertification Date
2/8/2022
Termination Date
Termination Reason
4/1/2023
Business decision by the Covered Entity
Contacts
Authorizing Official
East Arkansas Family Health Center, Inc
SUSAN WARD-JONES, CEO
(870) 735-3842
Primary Contact
East Arkansas Family Health Center
Judy Ali, Pharmacy Director
(870) 733-6341
Addresses
Street Address
900 N 7th St
West Memphis, AR 72301-2001
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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