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LEE COUNTY COOPERATIVE CLINIC
CH060060 Lee County Cooperative Clinic dba Olly Neal Community Health Center
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Covered Entity Details
Entity Name
Lee County Cooperative Clinic dba Olly Neal Community Health Center
Subdivision Name
Lee County Cooperative Clinic dba Olly Neal Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH060060
Entity Address
558 Atkins Blvd
Marianna, AR 72360-2113
Grant Number
H80CS00122
Participating Start Date
12/1/1992
Last Recertification Date
3/10/2025
Pharmacy Details
Pharmacy Name
LEE COUNTY COOPERATIVE CLINIC
Pharmacy Address
530 ATKINS BOULEVARD
P.O. BOX 669
MARIANNA, AR 72360
Pharmacy Comments
Contract Details
Approval Date
4/4/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Kellee Farris, CEO
(870) 295-5225 Ext: 4623
Contract Pharmacy Representative
Lee County Cooperative Clinic
Carol Weiland, Pharmacist
(870) 298-4230
Signed By Date
4/4/2019
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