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DEAN'S PHARMACY #2
CH062090 MID-DELTA HEALTH SYSTEMS INC
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Covered Entity Details
Entity Name
MID-DELTA HEALTH SYSTEMS INC
Subdivision Name
Mid Delta Health Center
Type
HRSA-Funded Health Center
340B ID
CH062090
Entity Address
245 Madison St
Clarendon, AR 72029-2706
Grant Number
H80CS17147
Participating Start Date
10/1/2006
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
DEAN'S PHARMACY #2
Pharmacy Address
102 E 22ND ST
STUTTGART, AR 72160-6716
Pharmacy Comments
Contract Details
Approval Date
1/17/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MONICA L LINDLEY, CEO
(870) 672-1527 Ext: 8706721527
Contract Pharmacy Representative
Dean's Pharmacies Inc
Dean Watts, President
(870) 946-2381
Signed By Date
1/17/2023
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