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HAMBURG PHARMACY
CH06273H MAINLINE HEALTH SYSTEMS INC
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Covered Entity Details
Entity Name
MAINLINE HEALTH SYSTEMS INC
Subdivision Name
Hamburg High School School Based Clinic
Type
HRSA-Funded Health Center
340B ID
CH06273H
Entity Address
1119 S Main St
Hamburg, AR 71646-8983
Grant Number
H80CS00638
Participating Start Date
7/1/2016
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
HAMBURG PHARMACY
Pharmacy Address
302 S MAIN ST
HAMBURG, AR 71646-3230
Pharmacy Comments
Contract Details
Approval Date
7/15/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/23/2019
Agreement registered in error
Contacts
Covered Entity Signing Official
GARY ALLAN NICHOLS, Executive Director
(870) 538-5414
Contract Pharmacy Representative
Hamburg Pharmacy
Brandy Bowen, Owner
(870) 415-1372
Signed By Date
7/15/2019
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