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BAPTIST HEALTH MEDICAL TOWERS PHARMACY
DSH040076 Baptist Health Medical Center - Hot Spring County
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Covered Entity Details
Entity Name
Baptist Health Medical Center - Hot Spring County
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH040076
Entity Address
1001 SCHNEIDER DRIVE
MALVERN, AR 72104
Medicare Provider Number
040076
Participating Start Date
10/1/2015
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
BAPTIST HEALTH MEDICAL TOWERS PHARMACY
Pharmacy Address
9601 BAPTIST HEALTH DR STE 109
LITTLE ROCK, AR 72205
Pharmacy Comments
Contract Details
Approval Date
1/16/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Brent Beaulieu, CFO
(501) 202-2017
Contract Pharmacy Representative
Medical Towers Pharmacy
Greg Crain, Administrator
(501) 202-2287
Signed By Date
1/16/2025
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