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THE MARVELL PHARMACY, INC
CH060140 EAST ARKANSAS FAMILY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
EAST ARKANSAS FAMILY HEALTH CENTER, INC.
Subdivision Name
East Arkansas Family Health Center, Inc.
Type
HRSA-Funded Health Center
340B ID
CH060140
Entity Address
900 North 7th St
West Memphis, AR 72301-3550
Grant Number
H80CS00123
Participating Start Date
12/1/1992
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
THE MARVELL PHARMACY, INC
Pharmacy Address
406 S. MILL ST
MARVELL, AR 72366-9302
Pharmacy Comments
Contract Details
Approval Date
1/13/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/7/2019
Pharmacy closed
Contacts
Covered Entity Signing Official
SUSAN WARD-JONES, CEO
(870) 735-3842
Contract Pharmacy Representative
The Marvell Pharmacy
Edward W Richmond, Owner
(870) 829-1044
Signed By Date
1/13/2018
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