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ASHFLAT PHARMACY
CH063720 1st Choice Healthcare, Inc.
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Covered Entity Details
Entity Name
1st Choice Healthcare, Inc.
Subdivision Name
1st Choice Healthcare Corning
Type
HRSA-Funded Health Center
340B ID
CH063720
Entity Address
1300 CREASON ROAD
CORNING, AR 72422
Grant Number
H80CS00537
Participating Start Date
11/21/2005
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
ASHFLAT PHARMACY
Pharmacy Address
JENNINGS DAVID T PROP
970 D ASHFLAT DRIVE
PO BOX 278
ASH FLAT, AR 72513
Pharmacy Comments
Contract Details
Approval Date
7/6/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/21/2018
Ownership change
Contacts
Covered Entity Signing Official
BRIGITTE MCDONALD, Chief Executive Officer
(870) 857-3334 Ext: 302
Contract Pharmacy Representative
David Jennings, owner
(870) 994-7377
Signed By Date
7/6/2016
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