340B Drug Pricing Program Database

Pharmacy Name

CABOT MEDICAL PARK PHARMACY

Pharmacy Address

PO BOX 1242
2039 W MAIN ST
CABOT, AR 72023

Pharmacy Comments

Approval Date

2/4/2011

Contract Begin Date

2/4/2011

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

Contract Termination Date
Termination Reason

4/30/2016
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

TALMAGE WHITEHEAD, CHIEF FINANCIAL OFFICER
(870) 347-7225

Contract Pharmacy Representative

SCOTT CURD, OWNER
(501) 941-2626

Signed By Date

1/31/2011