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TUNICA PHARMACY, INC.
CH04615A 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 - TUNICA CLINIC
Type
HRSA-Funded Health Center
340B ID
CH04615A
Entity Address
1820 Peabody St
Tunica, MS 38676-9441
Grant Number
H80CS00480
Participating Start Date
10/1/1999
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
TUNICA PHARMACY, INC.
Pharmacy Address
DBA TUNICA PHARMACY
1337 HIGHWAY 61 N
TUNICA, MS 38676
Pharmacy Comments
Contract Details
Approval Date
11/24/2003
Contract Begin Date
11/24/2003
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
AURELIA JONES-TAYLOR, CEO
(601) 624-4292
Contract Pharmacy Representative
President
WILLIAM ERIC POFF, OWNER/PHARMACIST IN CHARGE
(662) 363-1431
Signed By Date
8/3/2009
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