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DUMAS FAMILY PHARMACY LLC
CH06273AF MAINLINE HEALTH SYSTEMS INC
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Covered Entity Details
Entity Name
MAINLINE HEALTH SYSTEMS INC
Subdivision Name
Mainline Health Women's Clinic McGehee
Type
HRSA-Funded Health Center
340B ID
CH06273AF
Entity Address
206 S 1st St
Mc Gehee, AR 71654-2339
Grant Number
H80CS00638
Participating Start Date
10/1/2023
Last Recertification Date
2/12/2024
Entity Termination Date
10/1/2024
Pharmacy Details
Pharmacy Name
DUMAS FAMILY PHARMACY LLC
Pharmacy Address
301 HIGHWAY 65 S
DUMAS, AR 71639
Pharmacy Comments
Contract Details
Approval Date
10/16/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
GARY ALLAN NICHOLS, Executive Director
(870) 538-5414
Contract Pharmacy Representative
Dumas Family Pharmacy
Cheryl Stimson, Owner
(870) 382-0500
Signed By Date
10/16/2023
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