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PPG STORE 3, LLC
CH061220M HEALTHY CONNECTIONS INC
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Covered Entity Details
Entity Name
HEALTHY CONNECTIONS INC
Subdivision Name
Healthy Connections, Inc.-Franklin
Type
HRSA-Funded Health Center
340B ID
CH061220M
Entity Address
1701 S Harrison St
Little Rock, AR 72204-2752
Grant Number
H80CS00279
Participating Start Date
4/1/2020
Last Recertification Date
2/3/2022
Entity Termination Date
4/1/2023
Pharmacy Details
Pharmacy Name
PPG STORE 3, LLC
Pharmacy Address
DBA HEARTLAND PHARMACY MARKHAM
11414 W MARKHAM ST
SUITE D
LITTLE ROCK, AR 72211
Pharmacy Comments
Contract Details
Approval Date
4/15/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Tony Calandro, CEO
(479) 437-3449 Ext: 181
Contract Pharmacy Representative
Heartland Pharmacy
Clint S Boone, Pharmacist Co-owner
(501) 904-4299
Signed By Date
4/15/2020
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