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EUDORA DRUG STORE
CH06273R MAINLINE HEALTH SYSTEMS INC
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Covered Entity Details
Entity Name
MAINLINE HEALTH SYSTEMS INC
Subdivision Name
Eudora Elementary Clinic
Type
HRSA-Funded Health Center
340B ID
CH06273R
Entity Address
566 S Mabry St
Eudora, AR 71640-2941
Grant Number
H80CS00638
Participating Start Date
4/1/2019
Last Recertification Date
2/12/2024
Entity Termination Date
4/1/2025
Pharmacy Details
Pharmacy Name
EUDORA DRUG STORE
Pharmacy Address
200 S. MAIN ST
EUDORA, AR 71640
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
4/1/2025
Covered Entity Terminated
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
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