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STANLEY PHARMACY
RRC040027-00 BAXTER REGIONAL MEDICAL CENTER
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Covered Entity Details
Entity Name
BAXTER REGIONAL MEDICAL CENTER
Subdivision Name
Type
Rural Referral Center
340B ID
RRC040027-00
Entity Address
624 HOSPITAL DRIVE
MOUNTAIN HOME, AR 72653
Medicare Provider Number
040027
Participating Start Date
1/1/2020
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
STANLEY PHARMACY
Pharmacy Address
2007 W BEEBE CAPPS EXPY
STAN-KEL PHARMACIES, INC
SEARCY, AR 72143-5014
Pharmacy Comments
Contract Details
Approval Date
10/12/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/13/2023
Agreement registered in error
Contacts
Covered Entity Signing Official
Elizabeth Kay Smith, Pharmacy Operations Coordinator
(870) 508-7369
Contract Pharmacy Representative
Stanley & Turner Drug Company
Greg Turner, Vice President
(501) 305-4108
Signed By Date
10/12/2021
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