340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
JASPER PHARMACY
CH06373M BOSTON MOUNTAIN RURAL HEALTH CENTER, INC.
Print
Covered Entity Details
Entity Name
BOSTON MOUNTAIN RURAL HEALTH CENTER, INC.
Subdivision Name
Boston Mountain Rural Health Center - Jasper School Based Health Center
Type
HRSA-Funded Health Center
340B ID
CH06373M
Entity Address
609 West Clark Street
Jasper, AR 72641
Grant Number
H80CS00641
Participating Start Date
7/1/2017
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
JASPER PHARMACY
Pharmacy Address
200 WEST CHURCH ST
P.O. BOX 520
JASPER, AR 72641
Pharmacy Comments
Contract Details
Approval Date
10/11/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Becky Blair, CFO
(870) 448-5733 Ext: 2008
Contract Pharmacy Representative
Jasper Pharmacy
Leah Henderson, Pharmacy Owner
(870) 446-5515
Signed By Date
10/11/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session