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MORRISON'S PHARMACY
DSH040050 OUACHITA COUNTY MEDICAL CENTER
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Covered Entity Details
Entity Name
OUACHITA COUNTY MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH040050
Entity Address
638 CALIFORNIA AVENUE SOUTHWEST
CAMDEN, AR 71701
Medicare Provider Number
040050
Participating Start Date
4/1/2010
Last Recertification Date
9/16/2024
Pharmacy Details
Pharmacy Name
MORRISON'S PHARMACY
Pharmacy Address
MORRISONS PHARMACY
1286 HIGHWAY 278 BYPASS
CAMDEN, AR 71701-7170
Pharmacy Comments
Contract Details
Approval Date
4/10/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Peggy Abbott, CEO
(870) 836-1200
Contract Pharmacy Representative
Ouachita County Medical Center
Kyle Hively, Director of Pharmacy
(870) 836-1296
Signed By Date
4/10/2023
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