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PIGGOTT DISCOUNT DRUG
CAH041330-01 Piggott Community Hospital
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Covered Entity Details
Entity Name
Piggott Community Hospital
Subdivision Name
Campbell Medical Clinic
Type
Critical Access Hospital
340B ID
CAH041330-01
Entity Address
413 West Grand Avenue
Campbell, MO 63933-1523
Medicare Provider Number
041330
Outpatient Facility Provider Number
263405
Participating Start Date
4/1/2014
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
PIGGOTT DISCOUNT DRUG
Pharmacy Address
175 N 3RD AVE
PIGGOTT, AR 72454
Pharmacy Comments
Contract Details
Approval Date
10/13/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
James Magee, Executive Director
(870) 598-3881
Contract Pharmacy Representative
Kathy Hoggard, Owner/PIC
(870) 598-5353
Signed By Date
10/13/2014
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