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FORREST CITY FAMILY PHARMACY
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
FORREST CITY FAMILY PHARMACY
Pharmacy Address
2307 N WASHINGTON ST
FORREST CITY, AR 72335-1800
Pharmacy Comments
Contract Details
Approval Date
7/1/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/30/2024
Duplicate contract pharmacy record
Contacts
Covered Entity Signing Official
TALMAGE J. WHITEHEAD, President/CFO
(870) 347-3414
Contract Pharmacy Representative
Forrest City Family Pharmacy
Justin Breezeel, Owner
(870) 581-9029
Signed By Date
7/1/2019
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