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KENTUCKY CVS PHARMACY, L.L.C.
CH060940 ARCARE
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Covered Entity Details
Entity Name
ARCARE
Subdivision Name
ARcare Corporate Office
Type
HRSA-Funded Health Center
340B ID
CH060940
Entity Address
117 S 2nd St
Augusta, AR 72006-2309
Grant Number
H80CS00207
Participating Start Date
4/1/2006
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
KENTUCKY CVS PHARMACY, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY # 10050
405 MAIN ST.
BENTON, KY 42025
Pharmacy Comments
Contract Details
Approval Date
5/26/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
TALMAGE J. WHITEHEAD, President/CFO
(870) 347-3414
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
5/26/2021
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