Contract Pharmacy Details

MEDI SHOP PHARMACY, L.L.C.
CH0612200 HEALTHY CONNECTIONS INC

Covered Entity Details

Entity Name

HEALTHY CONNECTIONS INC

Subdivision Name

Healthy Connections, Inc.

Type

HRSA-Funded Health Center

340B ID

CH0612200

Entity Address

136 Health Park Ln.
Mena, AR 71953-4280

Grant Number

H80CS00279

Participating Start Date

1/1/2007

Last Recertification Date

2/13/2025

Pharmacy Details

Pharmacy Name

MEDI SHOP PHARMACY, L.L.C.

Pharmacy Address

204 HIGHWAY 71 S
MENA, AR 71953-4638

Pharmacy Comments

Contract Details

Approval Date

6/8/2007

Contract Begin Date

6/8/2007

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

Signed By Date

6/3/2007

340B Drug Pricing Program Database