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ALPS PHARMACY
CAH041331-00 OZARKS COMMUNITY HOSPITAL OF GRAVETT
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Covered Entity Details
Entity Name
OZARKS COMMUNITY HOSPITAL OF GRAVETT
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH041331-00
Entity Address
1101 JACKSON ST SW
GRAVETTE, AR 72736-9121
Medicare Provider Number
041331
Participating Start Date
4/1/2022
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
ALPS PHARMACY
Pharmacy Address
ANDERSON
704 S HIGHWAY 59 STE C
PO BOX 89
ANDERSON, MO 64831
Pharmacy Comments
Contract Details
Approval Date
1/11/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
PAUL GREGORY TAYLOR, CEO
(417) 837-2012
Contract Pharmacy Representative
ALPS PHARMACY
BRADY SMITH, PHARMACY REP
(417) 845-7799
Signed By Date
1/11/2023
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