340B Drug Pricing Program Database

Pharmacy Name

CLARK'S FAMILY PHARMACY

Pharmacy Address

621 COMMERCE ST
EARLE, AR 72331-1616

Pharmacy Comments

11/19/2010 - CHANGED STREET ADDRESS FROM 708 COMMERCE ST.

Approval Date

10/1/2010

Contract Begin Date

10/1/2010

Carve-In Effective Date

Contract Comments

9/28/12 entity and associated contracts terminated this day at request of CE, which later communicated that the request to terminate was a mistake so entity was unterminated the same day, termination date of 10/1/12 for CP was removed on 9/30/12

Covered Entity Signing Official

TALMAGE J. WHITEHEAD, President/CFO
(870) 347-3414

Contract Pharmacy Representative

Clark's Family Pharmacy
Cissy Clark, Owner
(870) 792-7177

Signed By Date

9/29/2010