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ARKANSAS CVS PHARMACY, L.L.C.
RRC040004-00 WASHINGTON REGIONAL MEDICAL CENTER
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Covered Entity Details
Entity Name
WASHINGTON REGIONAL MEDICAL CENTER
Subdivision Name
Type
Rural Referral Center
340B ID
RRC040004-00
Entity Address
3215 N. NORTH HILLS BLVD
FAYETTEVILLE, AR 72703
Medicare Provider Number
040004
Participating Start Date
4/1/2022
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
ARKANSAS CVS PHARMACY, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY #10519
2001 SOUTH THOMPSON STREET
SPRINGDALE, AR 72764
Pharmacy Comments
Contract Details
Approval Date
4/5/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dennis Charles Burrows, Vice President & Chief Accounting Officer
(479) 463-1120
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/5/2024
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