340B Drug Pricing Program Database
APOTHECARE,LLC
CAH251334-00 CHOCTAW REGIONAL MEDICAL CENTER - information as of 5/14/2025 12:14:07 AM
Covered Entity Details
Entity Name
CHOCTAW REGIONAL MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH251334-00
Entity Address
8613 MS HWY 12
ACKERMAN, MS 39735
Medicare Provider Number
251334
Participating Start Date
7/1/2015
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
APOTHECARE,LLC
Pharmacy Address
82 MAIN ST W
PO BOX 919
MEADVILLE, MS 39653-9320
Pharmacy Comments
Contract Details
Approval Date
7/16/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/23/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jamie Rodgers, CEO
(662) 285-4400
Contract Pharmacy Representative
Apothecare, LLC
Taz Milstead, CEO/Director of Pharmacy
(601) 384-3105
Signed By Date
7/16/2018
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