340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HORSESHOE HEALTH AND MEDICINE
CAH041322-00 FULTON COUNTY HOSPITAL
Print
Covered Entity Details
Entity Name
FULTON COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH041322-00
Entity Address
679 N MAIN ST
SALEM, AR 72576-0517
Medicare Provider Number
041322
Participating Start Date
9/24/2010
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
HORSESHOE HEALTH AND MEDICINE
Pharmacy Address
600 MARKET ST
HORSESHOE BEND, AR 72512
Pharmacy Comments
Contract Details
Approval Date
4/14/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/28/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Charles Willett, CEO/ADMINISTRATOR
(870) 895-6096
Contract Pharmacy Representative
Frank Fowler, Owner
(870) 670-4580
Signed By Date
4/14/2015
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