Contract Pharmacy Details

BARDWELL PHARMACY
CH060940 ARCARE

Covered Entity Details

Entity Name

ARCARE

Subdivision Name

ARcare Corporate Office

Type

HRSA-Funded Health Center

340B ID

CH060940

Entity Address

117 S 2nd St
Augusta, AR 72006-2309

Grant Number

H80CS00207

Participating Start Date

4/1/2006

Last Recertification Date

2/18/2025

Pharmacy Details

Pharmacy Name

BARDWELL PHARMACY

Pharmacy Address

178 US HWY 51 N
PO BOX 208
BARDWELL, KY 42023

Pharmacy Comments

Contract Details

Approval Date

12/12/2012

Contract Begin Date

1/1/2013

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/30/2016
Ownership change

Contacts

Covered Entity Signing Official

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

Contract Pharmacy Representative

Gregory Wright, Pharmacist/Owner
(270) 628-5445

Signed By Date

10/11/2012