340B Drug Pricing Program Database

Pharmacy Name

BAKER'S PHARMACY

Pharmacy Address

300 MAIN ST
CROSSETT, AR 71635-2928

Pharmacy Comments

Approval Date

4/18/2017

Contract Begin Date

7/1/2017

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

PHILLIP GILMORE, CHIEF EXECUTIVE OFFICER
(870) 364-4111 Ext: 271

Contract Pharmacy Representative

Eudora Drug
Khalil Lynn Crouse, Owner
(870) 364-5155

Signed By Date

4/18/2017