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HAMPTON MEDICAL PHARMACY
CHC00342-00 CABUN RURAL HEALTH SERVICES, INC
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Covered Entity Details
Entity Name
CABUN RURAL HEALTH SERVICES, INC
Subdivision Name
CABUN Rural Health Services, Inc.
Type
HRSA-Funded Health Center
340B ID
CHC00342-00
Entity Address
402 LEE ST
HAMPTON, AR 71744
Grant Number
H80CS00342
Participating Start Date
10/1/2009
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
HAMPTON MEDICAL PHARMACY
Pharmacy Address
344 S. LEE ST.
HAMPTON, AR 71744
Pharmacy Comments
Contract Details
Approval Date
12/11/2009
Contract Begin Date
12/11/2009
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/12/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
MELANIE SHEPPARD, CEO
(870) 798-4064 Ext: 2227
Contract Pharmacy Representative
Richard Buchanan
RICHARD A. BUCHANAN, OWNER/PHARMACIST
(870) 798-4247
Signed By Date
11/18/2009
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