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DUMAS FAMILY PHARMACY LLC
CAH041308-00 MCGEHEE HOSPITAL INC.
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Covered Entity Details
Entity Name
MCGEHEE HOSPITAL INC.
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH041308-00
Entity Address
900 South 3rd
MCGEHEE, AR 71654
Medicare Provider Number
041308
Participating Start Date
10/1/2017
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
DUMAS FAMILY PHARMACY LLC
Pharmacy Address
301 HIGHWAY 65 S
DUMAS, AR 71639
Pharmacy Comments
Contract Details
Approval Date
1/15/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Terry Lee Amstutz, CEO
(870) 690-4231 Ext: 4231
Contract Pharmacy Representative
DUMAS FAMILY PHARMACY
CHERYL STIMSON, OWNER/PHARMACIST
(870) 382-0500
Signed By Date
1/15/2020
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