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CAREFIRST PHARMACY AND WELLNESS CENTER
CAH041323-00 ASHLEY COUNTY MEDICAL CENTER
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Covered Entity Details
Entity Name
ASHLEY COUNTY MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH041323-00
Entity Address
1015 UNITY ROAD
CROSSETT, AR 71635
Medicare Provider Number
041323
Participating Start Date
1/1/2011
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
CAREFIRST PHARMACY AND WELLNESS CENTER
Pharmacy Address
113 EAST ADAMS
HAMBURG, AR 71646
Pharmacy Comments
Contract Details
Approval Date
4/11/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
PHILLIP GILMORE, CHIEF EXECUTIVE OFFICER
(870) 364-4111 Ext: 271
Contract Pharmacy Representative
CareFirst Pharmacy and Wellness Center
Remonica McBride, Owner
(870) 831-6163
Signed By Date
4/11/2024
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