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ALLCARE SPECIALTY PHARMACY, LLC
CAH041330-00 Piggott Community Hospital
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Covered Entity Details
Entity Name
Piggott Community Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH041330-00
Entity Address
1206 Gordon Duckworth Drive
Piggott, AR 72454-1911
Medicare Provider Number
041330
Participating Start Date
4/1/2014
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
ALLCARE SPECIALTY PHARMACY, LLC
Pharmacy Address
10620 COLONEL GLENN RD STE 300
LITTLE ROCK, AR 72204-8048
Pharmacy Comments
Contract Details
Approval Date
7/15/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
James Magee., Executive Director
(870) 598-3881 Ext: 1200
Contract Pharmacy Representative
ALLCARE SPECIALTY PHARMACY, LLC
Mark Adkison, President
(501) 217-8880
Signed By Date
7/15/2024
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