340B Drug Pricing Program Database

Name

Mississippi Center for Advanced Medicine

Subdivision Name

Type

Comprehensive Hemophilia Treatment Center

340B ID

HM70461

Grant Number

MCHB5H30MC240460700

Current Program Status

Terminated

Registration Date

4/2/2019

Participating Start Date

7/1/2019

Participating Approval Date

4/3/2019

Last Recertification Date

Termination Date
Termination Reason

7/1/2019
Other

Authorizing Official

Mississippi Center for Advanced Medicine
Spencer Sullivan, President
(601) 499-0935

Primary Contact

Mississippi Center for Advanced Medicine
Kayla Douglas, Director of Pharmacy
(601) 499-0935

Street Address

2053 Gause Blvd.
Suite 200
Slidell, LA 70461

Billing Address

Mississippi Center for Advanced Medicine
7731 Old Canton Road
Suite B
Madison, MS 39110