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ALLCARE SPECIALTY PHARMACY, LLC
DSH260070 PEMISCOT COUNTY MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
PEMISCOT COUNTY MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH260070
Entity Address
946 East Reed
HAYTI, MO 63851
Medicare Provider Number
260070
Participating Start Date
1/1/2015
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
ALLCARE SPECIALTY PHARMACY, LLC
Pharmacy Address
10620 COLONEL GLENN RD STE 300
LITTLE ROCK, AR 72204-8048
Pharmacy Comments
Contract Details
Approval Date
10/10/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/1/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jim Marshall, CEO
(573) 359-3612
Contract Pharmacy Representative
ALLCARE SPECIALTY PHARMACY, LLC
Mark Adkison, President
(501) 217-8880
Signed By Date
10/10/2017
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