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WYNNE APOTHECARY
CAH041307-00 ST BERNARDS COMMUNITY HOSPITAL DBA CROSSRIDGE COMMUNITY HOSPITAL
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Covered Entity Details
Entity Name
ST BERNARDS COMMUNITY HOSPITAL DBA CROSSRIDGE COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH041307-00
Entity Address
310 S FALLS BLVD
WYNNE, AR 72396
Medicare Provider Number
041307
Participating Start Date
1/1/2011
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
WYNNE APOTHECARY
Pharmacy Address
411 FALLS BLVD S
WYNNE, AR 72396
Pharmacy Comments
Contract Details
Approval Date
1/15/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/10/2024
Ownership change
Contacts
Covered Entity Signing Official
GARY SPARKS, ADMINISTRATOR
(870) 208-2108
Contract Pharmacy Representative
Wynne Apothecary
Stacy Boeckmann, Pharmacist In Charge
(870) 238-8511
Signed By Date
1/15/2020
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