340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ARKANSAS CVS PHARMACY, L.L.C.
DSH040039 ARKANSAS METHODIST MEDICAL CENTER
Print
Covered Entity Details
Entity Name
ARKANSAS METHODIST MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH040039
Entity Address
900 WEST KINGS HIGHWAY
PARAGOULD, AR 72450
Medicare Provider Number
040039
Participating Start Date
1/1/2024
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
ARKANSAS CVS PHARMACY, L.L.C.
Pharmacy Address
CVS/PHARMACY #10666
110 SOUTHWEST DRIVE
JONESBORO, AR 72401
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
Staci J Williams, CFO
(870) 239-7105
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/15/2024
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session