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COBB'S WESTSIDE PHARMACY
CAH041302-00 DARDANELLE HOSPITAL
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Covered Entity Details
Entity Name
DARDANELLE HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH041302-00
Entity Address
200 NORTH THIRD
DARDANELLE, AR 72834
Medicare Provider Number
041302
Participating Start Date
4/28/2021
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
COBB'S WESTSIDE PHARMACY
Pharmacy Address
108 SKYLINE DR STE B
RUSSELLVILLE, AR 72801
Pharmacy Comments
Contract Details
Approval Date
1/15/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
James Reed, VP of Clinical Support Services/CIO
(501) 513-5152
Contract Pharmacy Representative
Cobb's Westside Pharmacy
William John Cobb, Owner
(479) 968-7180
Signed By Date
1/15/2025
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