340B Drug Pricing Program Database

Pharmacy Name

CALDWELL DISCOUNT DRUG

Pharmacy Address

804 FALLS BLVD S
PO BOX 1084
WYNNE, AR 72396-3505

Pharmacy Comments

Approval Date

3/13/2012

Contract Begin Date

3/13/2012

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

Max Caldwell, Owner
(870) 238-7085

Signed By Date

3/2/2012