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ALLCARE SPECIALTY PHARMACY, LLC
RRC040027-00 BAXTER REGIONAL MEDICAL CENTER
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Covered Entity Details
Entity Name
BAXTER REGIONAL MEDICAL CENTER
Subdivision Name
Type
Rural Referral Center
340B ID
RRC040027-00
Entity Address
624 HOSPITAL DRIVE
MOUNTAIN HOME, AR 72653
Medicare Provider Number
040027
Participating Start Date
1/1/2020
Last Recertification Date
8/12/2024
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
1/10/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Paul Ryan Killian, Director of Pharmacy
(870) 508-1377
Contract Pharmacy Representative
AllCare Specialty Pharmacy
Stephen Carroll, COO
(501) 217-8880
Signed By Date
1/10/2025
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