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WILSON WIL-SAV PHARMACY, INC.
DSH040119 WHITE RIVER MEDICAL CENTER
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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
WILSON WIL-SAV PHARMACY, INC.
Pharmacy Address
5 ALLEN CHAPEL RD
SOUTHSIDE, AR 72501
Pharmacy Comments
02/27/2013 address update (was 10 ALLEN CHAPEL ROAD)
Contract Details
Approval Date
4/3/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jana Richardson, Controller
(870) 262-3222
Contract Pharmacy Representative
Lee Wilson, Owner
(870) 251-2432
Signed By Date
4/3/2013
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