340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DOCTOR'S ORDERS PHARMACY #3
CH06273V Mainline Health Systems Inc
Print
Covered Entity Details
Entity Name
Mainline Health Systems Inc
Subdivision Name
Warren Dental Clinic
Type
HRSA-Funded Health Center
340B ID
CH06273V
Entity Address
800 N Walnut St
Warren, AR 71671
Grant Number
H80CS00638
Participating Start Date
1/1/2022
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
DOCTOR'S ORDERS PHARMACY #3
Pharmacy Address
WHITEHALL PHARMACY LLC
500 S LINCOLN AVE
STAR CITY, AR 71667-5208
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
Whitehall Pharmacy LLC
Lelan Stice, Owner
(870) 671-4914
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