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BIOPLUS SPECIALTY PHARMACY, INC
CAH041331-00 OZARKS COMMUNITY HOSPITAL OF GRAVETT
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Covered Entity Details
Entity Name
OZARKS COMMUNITY HOSPITAL OF GRAVETT
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH041331-00
Entity Address
1101 JACKSON ST SW
GRAVETTE, AR 72736-9121
Medicare Provider Number
041331
Participating Start Date
4/1/2022
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
BIOPLUS SPECIALTY PHARMACY, INC
Pharmacy Address
3200 LAKE EMMA RD UNIT 1000
LAKE MARY, FL 32746
Pharmacy Comments
Contract Details
Approval Date
10/13/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/4/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
PAUL GREGORY TAYLOR, CEO
(417) 837-2012
Contract Pharmacy Representative
Kroger Health
Eva Brumfield, Strategic Program Director
(651) 357-2109
Signed By Date
10/13/2023
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