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CLINTON BUTLER LLC DBA CLINTON DRUG
CAH041313-00 OZARK HEALTH INC
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Covered Entity Details
Entity Name
OZARK HEALTH INC
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH041313-00
Entity Address
2500 HIGHWAY 65 S
CLINTON, AR 72031
Medicare Provider Number
041313
Participating Start Date
7/1/2022
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
CLINTON BUTLER LLC DBA CLINTON DRUG
Pharmacy Address
2526 HIGHWAY 65 S STE 101
CLINTON, AR 72031
Pharmacy Comments
Contract Details
Approval Date
4/4/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Robin Corley, CFO
(501) 745-9302
Contract Pharmacy Representative
Butler Pharmacies
Dylan Jones, COO
(479) 856-1699
Signed By Date
4/4/2025
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