340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
BEST DRUG STORE OF NORTH CENTRAL ARKANSA
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
BEST DRUG STORE OF NORTH CENTRAL ARKANSA
Pharmacy Address
100 CASE COMMONS DRIVE
P.O. BOX 498
MOUNTAIN VIEW, AR 72560
Pharmacy Comments
Contract Details
Approval Date
3/7/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/15/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jana Richardson, Interim CFO
(870) 262-3222
Contract Pharmacy Representative
Bryant's Pharmacy & Health Care Center
Steve Bryant, President
(870) 793-3999
Signed By Date
1/11/2013
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