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BIOLOGICS, INC.
DSH040051 Baptist Health Medical Center - Drew County
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Covered Entity Details
Entity Name
Baptist Health Medical Center - Drew County
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH040051
Entity Address
778 SCOGIN DRIVE
MONTICELLO, AR 71655
Medicare Provider Number
040051
Participating Start Date
7/1/2010
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
BIOLOGICS, INC.
Pharmacy Address
BIOLOGICS BY MCKESSON
11800 WESTON PARKWAY
CARY, NC 27513
Pharmacy Comments
Contract Details
Approval Date
1/12/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/2/2023
Ownership change
Contacts
Covered Entity Signing Official
Scott Barrilleaux, CEO
(870) 460-3589
Contract Pharmacy Representative
Biologics by McKesson
Sherry Millay, Strategic Account Manager
(773) 892-7141
Signed By Date
1/12/2023
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