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WEST SIDE PHARMACY INCORPORATED
CH060940 ARCARE
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Covered Entity Details
Entity Name
ARCARE
Subdivision Name
ARcare Corporate Office
Type
HRSA-Funded Health Center
340B ID
CH060940
Entity Address
117 S 2nd St
Augusta, AR 72006-2309
Grant Number
H80CS00207
Participating Start Date
4/1/2006
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
WEST SIDE PHARMACY INCORPORATED
Pharmacy Address
WEST SIDE PHARMACY INCORPORATED
620 W SOUTH ST STE C
BENTON, AR 72015-4235
Pharmacy Comments
Contract Details
Approval Date
10/15/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
TALMAGE J. WHITEHEAD, President/CFO
(870) 347-3414
Contract Pharmacy Representative
West Side Pharmacy
Blake Torres, Main POC
(501) 778-3151
Signed By Date
10/15/2018
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