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FREEDOM PHARMACY LLC
CH061220H HEALTHY CONNECTIONS INC
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Covered Entity Details
Entity Name
HEALTHY CONNECTIONS INC
Subdivision Name
Healthy Connections - DeQueen Clinic
Type
HRSA-Funded Health Center
340B ID
CH061220H
Entity Address
1206 West Collin Raye Dr
De Queen, AR 71832
Grant Number
H80CS00279
Participating Start Date
4/1/2018
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
FREEDOM PHARMACY LLC
Pharmacy Address
710 4TH ST
MENA, AR 71953
Pharmacy Comments
Contract Details
Approval Date
4/15/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tony Calandro, CEO
(479) 437-3449 Ext: 181
Contract Pharmacy Representative
Freedom Pharmacy
Brian Erickson, Owner
(479) 437-3089
Signed By Date
4/15/2020
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