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DEAN'S PHARMACY #2
DSH040072 BAPTIST HEALTH MEDICAL CENTER - STUTTGART
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Covered Entity Details
Entity Name
BAPTIST HEALTH MEDICAL CENTER - STUTTGART
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH040072
Entity Address
1703 NORTH BUERKLE
STUTTGART, AR 72160
Medicare Provider Number
040072
Participating Start Date
1/1/2011
Last Recertification Date
9/18/2023
Entity Termination Date
7/1/2024
Pharmacy Details
Pharmacy Name
DEAN'S PHARMACY #2
Pharmacy Address
102 E 22ND ST
STUTTGART, AR 72160-6716
Pharmacy Comments
Contract Details
Approval Date
7/15/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/6/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Terry Amstutz, Administrator
(870) 674-6301
Contract Pharmacy Representative
Dean's Pharmacies Inc
Dean Watts, President
(870) 946-2381
Signed By Date
7/15/2013
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