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ROGERS PHARMACY, INC.
CAH041309-00 LAWRENCE MEMORIAL HEALTH FOUNDATION, INC
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Covered Entity Details
Entity Name
LAWRENCE MEMORIAL HEALTH FOUNDATION, INC
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH041309-00
Entity Address
1309 W MAIN ST
WALNUT RIDGE, AR 72476-1430
Medicare Provider Number
041309
Participating Start Date
4/1/2015
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
ROGERS PHARMACY, INC.
Pharmacy Address
221 SW 2ND ST
P.O. BOX 591
WALNUT RIDGE, AR 72476-2335
Pharmacy Comments
Contract Details
Approval Date
4/15/2020
Contract Begin Date
5/8/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Joshua T. Conlee, President
(870) 886-1266
Contract Pharmacy Representative
Rogers Pharmacy, Inc.
Bryian T. Rogers, Owner
(870) 886-5700
Signed By Date
4/15/2020
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