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ALPS PHARMACY
DSH040017 NORTH ARKANSAS REGIONAL MEDICAL CENTER
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Covered Entity Details
Entity Name
NORTH ARKANSAS REGIONAL MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH040017
Entity Address
620 NORTH MAIN STREET
HARRISON, AR 72601
Medicare Provider Number
040017
Participating Start Date
10/1/2010
Last Recertification Date
9/5/2024
Pharmacy Details
Pharmacy Name
ALPS PHARMACY
Pharmacy Address
FOOD MERCHANTS LLC
2650 W KEARNEY
STE 116
SPRINGFIELD, MO 65803-2055
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
Josh Bright, Chief Operating Officer
(870) 414-5156
Contract Pharmacy Representative
Food Merchants LLC d/b/a Alps Pharmacy
Linda Tran, PIC
(417) 865-1547
Signed By Date
7/15/2024
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