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JOHNSON PHARMACY INC
CAH041312-00 BAPTIST HEALTH MEDICAL CENTER HEBER SPRINGS
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Covered Entity Details
Entity Name
BAPTIST HEALTH MEDICAL CENTER HEBER SPRINGS
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH041312-00
Entity Address
1800 BYPASS ROAD
HEBER SPRINGS, AR 72543
Medicare Provider Number
041312
Participating Start Date
9/27/2010
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
JOHNSON PHARMACY INC
Pharmacy Address
6124 HEBER SPRINGS RD W
QUITMAN, AR 72131-0164
Pharmacy Comments
Contract Details
Approval Date
7/2/2014
Contract Begin Date
10/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
EDWARD LACY, VICE PRESIDENT & ADMINISTRATOR
(501) 887-3221
Contract Pharmacy Representative
Thomas Johnson, Owner
(501) 589-2890
Signed By Date
7/2/2014
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