340B Drug Pricing Program Database
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The Q2 2025 registration window for covered entities is open from 4/1/2025 - 4/15/2025.
DSH250168 UMMC-GRENADA (Active)
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Main Details
Name
UMMC-GRENADA
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH250168
Medicare Provider Number
250168
Additional Details
Current Program Status
Active
Registration Date
12/12/2017
Participating Start Date
1/1/2018
Participating Approval Date
12/13/2017
Last Recertification Date
9/10/2024
Contacts
Authorizing Official
UMMC-Grenada
Scott Whittemore, Chief Financial Officer
(662) 227-7172
Primary Contact
University of Mississippi Medical Center Grenada
NATALIE L MAINELLI, Director of Pharmacy
(662) 227-7025
Addresses
Street Address
960 AVENT DRIVE
GRENADA, MS 38901
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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