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BEARD DRUG INC
CAH041326-00 DELTA MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
DELTA MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH041326-00
Entity Address
811 HWY 65 SOUTH
DUMAS, AR 71639
Medicare Provider Number
041326
Participating Start Date
1/1/2011
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
BEARD DRUG INC
Pharmacy Address
614 S LINCOLN AVE
STAR CITY, AR 71667-5802
Pharmacy Comments
Contract Details
Approval Date
1/16/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/13/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
CRIS BOLIN, ADMINISTRATOR
(870) 382-4303 Ext: 8234
Contract Pharmacy Representative
Beard Drug
Roland Beard, Pharmacist In Charge
(870) 628-4277
Signed By Date
1/16/2015
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