Contract Pharmacy Details

ECONOMY DRUG
CH06373D BOSTON MOUNTAIN RURAL HEALTH CENTER, INC

Covered Entity Details

Entity Name

BOSTON MOUNTAIN RURAL HEALTH CENTER, INC

Subdivision Name

Boston Mountain Rural Health Center, Inc.

Type

HRSA-Funded Health Center

340B ID

CH06373D

Entity Address

934 N. Gaskill Street
Huntsville, AR 72740

Grant Number

H80CS00641

Participating Start Date

4/1/2006

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

ECONOMY DRUG

Pharmacy Address

601 NORTH GASKILL
P.O. BOX 157
HUNTSVILLE, AR 72740

Pharmacy Comments

Contract Details

Approval Date

1/28/2010

Contract Begin Date

1/28/2010

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/13/2017
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

MELANIE CAMPBELL, EXECUTIVE DIRECTOR
(870) 448-3976

Contract Pharmacy Representative

DANNY L. RAY, PRESIDENT
(479) 738-2620

Signed By Date

1/5/2010

340B Drug Pricing Program Database