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MALDEN PHARMACY & HME
CAH041330-00 Piggott Community Hospital
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Covered Entity Details
Entity Name
Piggott Community Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH041330-00
Entity Address
1206 Gordon Duckworth Drive
Piggott, AR 72454-1911
Medicare Provider Number
041330
Participating Start Date
4/1/2014
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
MALDEN PHARMACY & HME
Pharmacy Address
WILKARE PHARMACY LLC
214 W MAIN ST
MALDEN, MO 63863-2114
Pharmacy Comments
Contract Details
Approval Date
4/11/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
James Magee., Executive Director
(870) 598-3881 Ext: 1200
Contract Pharmacy Representative
Malden Pharmacy & Home Medical Equipment
Phillip Wilkins Jr., Co-Owner
(573) 276-3784
Signed By Date
4/11/2022
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