340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SCPG ARKANSAS LLC
HV00133 JEFFERSON COMPREHENSIVE CARE SYSTEM INC
Print
Covered Entity Details
Entity Name
JEFFERSON COMPREHENSIVE CARE SYSTEM INC
Subdivision Name
PINE BLUFF MEDICAL & DENTAL CENTER
Type
Ryan White Part C
340B ID
HV00133
Entity Address
1101 S TENNESSEE STREET
PINE BLUFF, AR 71601
Grant Number
H76HA00133
Participating Start Date
1/1/2007
Last Recertification Date
3/7/2025
Entity Termination Date
4/1/2025
Pharmacy Details
Pharmacy Name
SCPG ARKANSAS LLC
Pharmacy Address
DBA: EXPRESS RX OF PINE BLUFF
3006 W 28TH AVE
PINE BLUFF, AR 71603-4803
Pharmacy Comments
Contract Details
Approval Date
1/15/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Sandra J. Brown, Chief Executive Officer
(870) 543-2300
Contract Pharmacy Representative
Express RX
Galen Perkins, CEO
(501) 534-4400
Signed By Date
1/15/2021
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session