340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DAVIDSON DRUG, LLC
DSH040119 WHITE RIVER MEDICAL CENTER
Print
Covered Entity Details
Entity Name
WHITE RIVER MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH040119
Entity Address
1710 HARRISON STREET
BATESVILLE, AR 72501
Medicare Provider Number
040119
Participating Start Date
7/1/2009
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
DAVIDSON DRUG, LLC
Pharmacy Address
1238A HIGHWAY 62 412
HIGHLAND, AR 72542-9468
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
Shawna Jeffrey Ives, Controller
(870) 262-6100
Contract Pharmacy Representative
Davidson Drug
Ken Davidson, Pharmacist
(870) 856-3080
Signed By Date
1/15/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session