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CORNER DRUG STORE
CH060940 ARCARE
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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
CORNER DRUG STORE
Pharmacy Address
CORNER DRUG STORE
LISAGARDNER99@MAC.COM
830 EAST MAIN STREET
MELBOURNE, AR 72556-7255
Pharmacy Comments
Contract Details
Approval Date
4/1/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/3/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
TALMAGE J. WHITEHEAD, President/CFO
(870) 347-3414
Contract Pharmacy Representative
Caeverett, Inc.
Lisa Gardner, Owner
(870) 368-7171
Signed By Date
4/1/2013
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