340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MARSHALL MEDICINE PHARMACY
CH063730 BOSTON MOUNTAIN RURAL HEALTH CENTER, INC
Print
Covered Entity Details
Entity Name
BOSTON MOUNTAIN RURAL HEALTH CENTER, INC
Subdivision Name
BOSTON MOUNTAIN RURAL HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH063730
Entity Address
2263 HIGHWAY 65 NORTH
MARSHALL, AR 72650-1030
Grant Number
H80CS00641
Participating Start Date
4/1/2006
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
MARSHALL MEDICINE PHARMACY
Pharmacy Address
243 HIGHWAY 65 N
P O BOX 427
MARSHALL, AR 72650-7859
Pharmacy Comments
Contract Details
Approval Date
9/30/2010
Contract Begin Date
9/30/2010
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/25/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
Carol Raines, CEO
(870) 448-3796
Contract Pharmacy Representative
Jeanie Horton, Pharmacist in Charge
(870) 448-3614
Signed By Date
9/17/2010
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session