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BEARDEN PHARMACY
CAH041317-00 DALLAS COUNTY MEDICAL CENTER
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Covered Entity Details
Entity Name
DALLAS COUNTY MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH041317-00
Entity Address
201 NORTH CLIFTON ST
FORDYCE, AR 71742
Medicare Provider Number
041317
Participating Start Date
8/23/2010
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
BEARDEN PHARMACY
Pharmacy Address
TOTTY ENTERPRISES
26 1ST ST NW
P.O. BOX 627
BEARDEN, AR 71720-8036
Pharmacy Comments
Contract Details
Approval Date
1/16/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ken Sanders, Interim Administrator
(870) 352-6363
Contract Pharmacy Representative
Bearden Pharmacy
Rebecca Totty, Owner
(870) 687-3814
Signed By Date
1/16/2020
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