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SEARCY MEDICAL CENTER PHARMACY LLP
DSH040014 WHITE COUNTY MEDICAL CENTER
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Covered Entity Details
Entity Name
WHITE COUNTY MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH040014
Entity Address
3214 East Race Avenue
SEARCY, AR 72143
Medicare Provider Number
040014
Participating Start Date
4/1/2015
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
SEARCY MEDICAL CENTER PHARMACY LLP
Pharmacy Address
2900 HAWKINS DR.
SEARCY, AR 72143-7214
Pharmacy Comments
Contract Details
Approval Date
3/26/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/31/2024
Ownership change
Contacts
Covered Entity Signing Official
STUART HILL, VP/CFO
(501) 380-1004
Contract Pharmacy Representative
Todd McCloud, Owner
(501) 268-3311
Signed By Date
3/26/2015
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