340B Drug Pricing Program Database


MANTACHIE PHARMACY, LLC - information as of 5/9/2025 11:52:54 PM


MANTACHIE PHARMACY, LLC

3309 HIGHWAY 371 N
MANTACHIE, MS 38855-7267



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCAH251302-00BOA VIDA HOSPITAL OF ABERDEEN, MS, LLC, D/B/A MONROE REGIONAL HOSPITAL Critical Access Hospital400 SOUTH CHESTNUT ST
ABERDEENMS10/01/2020 10/1/2020 12:01 AM
DetailsCH043920MANTACHIE RURAL HEALTH CARE INCMantachie Rural Health Care, Inc.HRSA-Funded Health Center5681 Highway 363
MantachieMS01/01/2019 1/1/2019 12:05 AM
DetailsCH04392BMANTACHIE RURAL HEALTH CARE INCMANTACHIE RURAL HEALTH CARE, INC. DENTALHRSA-Funded Health Center5500 Highway 363
MantachieMS01/01/2019 1/1/2019 12:05 AM
DetailsCH04392CMANTACHIE RURAL HEALTH CARE INCMantachie Rural Health Care Behavioral Health ClinicHRSA-Funded Health Center5510 Highway 363
MantachieMS01/01/2019 1/1/2019 12:05 AM
DetailsCH04392DMantachie Rural Health Care IncMantachie Rural Health Care, Inc. School Based ClinicHRSA-Funded Health Center311 Mustang Dr
MantachieMS10/01/2022 10/1/2022 12:01 AM
DetailsCH049100NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.Benton Medical CenterHRSA-Funded Health Center15921 Boundary Dr
AshlandMS01/01/2025 1/1/2025 12:01 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  MANTACHIE PHARMACY, LLC 3309 HIGHWAY 371 N MANTACHIE, MS 38855-72672/5/2021 10:46 AM
DetailsCommentsInsert   5/18/2018 8:09 AM
DetailsIs DeletedInsert  False5/18/2018 8:09 AM
AddressesPharmacy AddressInsert  MANTACHIE PHARMACY, LLC 3309 HWY 371 NORTH MANTACHIE, MS 388555/18/2018 8:09 AM
DetailsNameInsert  MANTACHIE PHARMACY, LLC5/18/2018 8:09 AM