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FREEDOM PHARMACY LLC
CH061220L HEALTHY CONNECTIONS INC
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Covered Entity Details
Entity Name
HEALTHY CONNECTIONS INC
Subdivision Name
Healthy Connections-Little Rock Midtown
Type
HRSA-Funded Health Center
340B ID
CH061220L
Entity Address
1100 N University Ave Ste 260
Little Rock, AR 72207-6367
Grant Number
H80CS00279
Participating Start Date
4/1/2020
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
7/15/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tony Calandro, CEO
(479) 437-3449 Ext: 181
Contract Pharmacy Representative
Freedom Pharmacy
Brain Erickson, Owner/Pharmacist
(479) 437-7308
Signed By Date
7/15/2020
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