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ALLCARE SPECIALTY PHARMACY, LLC
DSH040014 WHITE COUNTY MEDICAL CENTER
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Covered Entity Details
Entity Name
WHITE COUNTY MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH040014
Entity Address
3214 East Race Avenue
SEARCY, AR 72143
Medicare Provider Number
040014
Participating Start Date
4/1/2015
Last Recertification Date
9/6/2024
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
10/18/2017
Contract Begin Date
10/18/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
STUART HILL, VP/CFO
(501) 380-1004
Contract Pharmacy Representative
AllCare Specialty Pharmacy
Stephen Carroll, COO
(501) 217-8880
Signed By Date
10/18/2017
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