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DAVIS FAMILY PHARMACY
CH04615H AARON E. HENRY COMMUNITY HEALTH SERVICES CENTER, INC.
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Covered Entity Details
Entity Name
AARON E. HENRY COMMUNITY HEALTH SERVICES CENTER, INC.
Subdivision Name
AARON E. HENRY - BATESVILLE AMBULATORY CARE CLINIC
Type
HRSA-Funded Health Center
340B ID
CH04615H
Entity Address
216 Highway 51 N
Batesville, MS 38606-2311
Grant Number
H80CS00480
Participating Start Date
10/1/1999
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
DAVIS FAMILY PHARMACY
Pharmacy Address
124 PUBLIC SQ
BATESVILLE, MS 38606
Pharmacy Comments
Contract Details
Approval Date
12/17/2009
Contract Begin Date
12/17/2009
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
AURELIA JONES-TAYLOR, CEO
(601) 624-4292
Contract Pharmacy Representative
Diane Cummins, Owner
(662) 563-9262
Signed By Date
11/30/2009
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