Contract Pharmacy Details

FRED'S XPRESS #1866
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

FRED'S XPRESS #1866

Pharmacy Address

1301 N ILLINOIS ST
HARRISBURG, AR 72432-3021

Pharmacy Comments

Contract Details

Approval Date

10/20/2016

Contract Begin Date

1/1/2017

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

9/23/2019
Pharmacy closed

Contacts

Covered Entity Signing Official

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

Contract Pharmacy Representative

Fred's Pharmacy
Betty Ngo, Sr. Director 340B Program Operations
(901) 481-0346

Signed By Date

10/20/2016

340B Drug Pricing Program Database