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EAST ARKANSAS FAMILY HEALTH PHARMACY
CH060140 EAST ARKANSAS FAMILY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
EAST ARKANSAS FAMILY HEALTH CENTER, INC.
Subdivision Name
East Arkansas Family Health Center, Inc.
Type
HRSA-Funded Health Center
340B ID
CH060140
Entity Address
900 North 7th St
West Memphis, AR 72301-3550
Grant Number
H80CS00123
Participating Start Date
12/1/1992
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
EAST ARKANSAS FAMILY HEALTH PHARMACY
Pharmacy Address
NUMBER 3
406 S MILL ST
MARVELL, AR 72366-9302
Pharmacy Comments
Contract Details
Approval Date
7/15/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/22/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
SUSAN WARD-JONES, CEO
(870) 735-3842
Contract Pharmacy Representative
East Arkansas Family Health Center
Judy Ali, Pharmacy Director
(870) 733-6341
Signed By Date
7/15/2020
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