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SALEM DRUG COMPANY
CAH041322-00 FULTON COUNTY HOSPITAL
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Covered Entity Details
Entity Name
FULTON COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH041322-00
Entity Address
679 N MAIN ST
SALEM, AR 72576-0517
Medicare Provider Number
041322
Participating Start Date
9/24/2010
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
SALEM DRUG COMPANY
Pharmacy Address
SALEM DRUG CO
502 HWY 62 WEST
P. O. BOX 940
SALEM, AR 72576
Pharmacy Comments
Contract Details
Approval Date
4/12/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Anthony Reed, CEO
(870) 895-2691 Ext: 6099
Contract Pharmacy Representative
Salem Drug Company
Darla York, Pharmacist/Owner
(870) 895-7455
Signed By Date
4/12/2024
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