340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MVP WARREN LLC
CH06273T MAINLINE HEALTH SYSTEMS INC
Print
Covered Entity Details
Entity Name
MAINLINE HEALTH SYSTEMS INC
Subdivision Name
Mainline Health Systems, Inc.-Warren 2
Type
HRSA-Funded Health Center
340B ID
CH06273T
Entity Address
1012 E Church St Ste B
Warren, AR 71671-3530
Grant Number
H80CS00638
Participating Start Date
4/1/2020
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
MVP WARREN LLC
Pharmacy Address
101 N MAIN ST
WARREN, AR 71671
Pharmacy Comments
Contract Details
Approval Date
10/16/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
GARY ALLAN NICHOLS, Executive Director
(870) 538-5414
Contract Pharmacy Representative
City Drug of Monticello
Lynn Crouse, Owner
(870) 224-0650
Signed By Date
10/16/2023
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