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M-C DRUG STORE, LLC
CH060140 EAST ARKANSAS FAMILY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
EAST ARKANSAS FAMILY HEALTH CENTER, INC.
Subdivision Name
East Arkansas Family Health Center, Inc.
Type
HRSA-Funded Health Center
340B ID
CH060140
Entity Address
900 North 7th St
West Memphis, AR 72301-3550
Grant Number
H80CS00123
Participating Start Date
12/1/1992
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
M-C DRUG STORE, LLC
Pharmacy Address
533 PORTER STREET
HELENA, AR 72342
Pharmacy Comments
Contract Details
Approval Date
7/20/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2020
Pharmacy closed
Contacts
Covered Entity Signing Official
SUSAN WARD-JONES, CEO
(870) 735-3842
Contract Pharmacy Representative
Vance Montgomery, Owner
(870) 338-3414
Signed By Date
7/20/2017
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