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DEAN'S PHARMACY
CAH041326-00 DELTA MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
DELTA MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH041326-00
Entity Address
811 HWY 65 SOUTH
DUMAS, AR 71639
Medicare Provider Number
041326
Participating Start Date
1/1/2011
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
DEAN'S PHARMACY
Pharmacy Address
1640 S WHITEHEAD DR
DE WITT, AR 72042-2994
Pharmacy Comments
Contract Details
Approval Date
1/3/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jeremy D Capps, CEO
(870) 382-8126
Contract Pharmacy Representative
Dean's Pharmacies Inc
Dean Watts, President
(870) 946-2381
Signed By Date
1/3/2025
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