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HUNTERS PHARMACY INC
CAH041328-00 Chicot Memorial Medical Center
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Covered Entity Details
Entity Name
Chicot Memorial Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH041328-00
Entity Address
Chicot Memorial Medical Center
2729 S. Hwy 65 & 82
Lake Village, AR 71653
Medicare Provider Number
041328
Participating Start Date
4/17/2017
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
HUNTERS PHARMACY INC
Pharmacy Address
401 MAIN ST
LAKE VILLAGE, AR 71653-1731
Pharmacy Comments
Contract Details
Approval Date
10/12/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
John Hodnett, CNO
(870) 265-9314
Contract Pharmacy Representative
Eudora Drug
Khalil Lynn Crouse, Owner
(870) 364-5155
Signed By Date
10/12/2018
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