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LOUISIANA CVS PHARMACY, L.L.C.
CAH041312-00 BAPTIST HEALTH MEDICAL CENTER HEBER SPRINGS
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Covered Entity Details
Entity Name
BAPTIST HEALTH MEDICAL CENTER HEBER SPRINGS
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH041312-00
Entity Address
1800 BYPASS ROAD
HEBER SPRINGS, AR 72543
Medicare Provider Number
041312
Participating Start Date
9/27/2010
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
LOUISIANA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 08921
2831 BELLE CHASE HWY.
TERRYTOWN, LA 70056
Pharmacy Comments
Contract Details
Approval Date
10/14/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2023
Business decision by covered entity and/or pharmacy
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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