340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CITY DRUG OF MONTICELLO
CH06273P MAINLINE HEALTH SYSTEMS INC
Print
Covered Entity Details
Entity Name
MAINLINE HEALTH SYSTEMS INC
Subdivision Name
Drew Central School District
Type
HRSA-Funded Health Center
340B ID
CH06273P
Entity Address
250 University Drive
Monticello, AR 71655
Grant Number
H80CS00638
Participating Start Date
1/1/2018
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
CITY DRUG OF MONTICELLO
Pharmacy Address
201 E GAINES ST
MONTICELLO, AR 71655-4903
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