340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MARSHALL MEDICINE PHARMACY
DSH040017A NORTH ARKANSAS REGIONAL MEDICAL CENTER
Print
Covered Entity Details
Entity Name
NORTH ARKANSAS REGIONAL MEDICAL CENTER
Subdivision Name
CLAUDE PARRISH COMMUNITY HEALTH CLINIC
Type
Disproportionate Share Hospital
340B ID
DSH040017A
Entity Address
131 EAST HIGHWAY 14
LEAD HILL, AR 72644
Medicare Provider Number
040017
Outpatient Facility Provider Number
Participating Start Date
10/1/2010
Last Recertification Date
8/15/2023
Entity Termination Date
4/1/2024
Pharmacy Details
Pharmacy Name
MARSHALL MEDICINE PHARMACY
Pharmacy Address
243 HIGHWAY 65 N
P O BOX 427
MARSHALL, AR 72650-7859
Pharmacy Comments
Contract Details
Approval Date
7/11/2014
Contract Begin Date
10/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Richard McBryde, COO
(870) 414-5156
Contract Pharmacy Representative
Jeanie Horton, Pharmacist in Charge
(870) 448-3614
Signed By Date
7/11/2014
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