340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
NORMAN & BAKER PHARMACY
DSH040119 WHITE RIVER MEDICAL CENTER
Print
Covered Entity Details
Entity Name
WHITE RIVER MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH040119
Entity Address
1710 HARRISON STREET
BATESVILLE, AR 72501
Medicare Provider Number
040119
Participating Start Date
7/1/2009
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
NORMAN & BAKER PHARMACY
Pharmacy Address
2200 MALCOLM AVE STE D
NEWPORT, AR 72112-3697
Pharmacy Comments
Contract Details
Approval Date
4/10/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Shawna Jeffrey Ives, Controller
(870) 262-6100
Contract Pharmacy Representative
Norman and Baker Pharmacy
Mary Davis, Owner
(870) 523-9472
Signed By Date
4/10/2025
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session