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MCCOY & TYGART DRUG STORE INC
CH06273Y Mainline Health Systems Inc
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Covered Entity Details
Entity Name
Mainline Health Systems Inc
Subdivision Name
Sheridan Clinic
Type
HRSA-Funded Health Center
340B ID
CH06273Y
Entity Address
506 Little Creek Cut Off Rd
Sheridan, AR 72150-7798
Grant Number
H80CS00638
Participating Start Date
7/1/2022
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
MCCOY & TYGART DRUG STORE INC
Pharmacy Address
821 N ROCK ST
P.O. BOX 217
SHERIDAN, AR 72150-7623
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
Mccoy-Tygart Drug
Casey Hedden, Pharmacist in Charge
(870) 942-5121
Signed By Date
10/16/2023
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