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CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC
CAH041321-00 BAPTIST HEALTH MEDICAL CENTER - ARKADELPHIA
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Covered Entity Details
Entity Name
BAPTIST HEALTH MEDICAL CENTER - ARKADELPHIA
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH041321-00
Entity Address
3050 TWIN RIVERS DRIVE
ARKADELPHIA, AR 71923-4299
Medicare Provider Number
041321
Participating Start Date
1/1/2011
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC
Pharmacy Address
DBA CVS/CAREMARK 48067
1780 WALL ST
MT PROSPECT, IL 60056
Pharmacy Comments
Contract Details
Approval Date
10/14/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Brent Beaulieu, CFO
(501) 202-2017
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/14/2021
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