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KELLEY DRUG AND SELECTIONS
CAH041308-00 MCGEHEE HOSPITAL INC.
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Covered Entity Details
Entity Name
MCGEHEE HOSPITAL INC.
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH041308-00
Entity Address
900 South 3rd
MCGEHEE, AR 71654
Medicare Provider Number
041308
Participating Start Date
10/1/2017
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
KELLEY DRUG AND SELECTIONS
Pharmacy Address
104 HOLLY STREET
P O BOX 21
MCGEHEE, AR 71654
Pharmacy Comments
Contract Details
Approval Date
7/15/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/24/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
Terry Lee Amstutz, CEO
(870) 690-4231 Ext: 4231
Contract Pharmacy Representative
Kelley Drug
James R. Gulley, Owner
(870) 222-5071
Signed By Date
7/15/2021
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