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CITY PHARMACY INC
CH06372A 1st Choice Healthcare, Inc.
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Covered Entity Details
Entity Name
1st Choice Healthcare, Inc.
Subdivision Name
1st Choice Healthcare Pocahontas
Type
HRSA-Funded Health Center
340B ID
CH06372A
Entity Address
1016 McQuay Avenue
Pocahontas, AR 72455-3602
Grant Number
H80CS00537
Participating Start Date
11/21/2005
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
CITY PHARMACY INC
Pharmacy Address
606 SOUTH PARK STREET
POCAHONTAS, AR 72455
Pharmacy Comments
Contract Details
Approval Date
8/24/2006
Contract Begin Date
8/24/2006
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/11/2016
Agreement registered in error
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
8/24/2006
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