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NOBLE HEALTH SERVICES INC.
HM39110 Mississippi Center for Advanced Medicine, PC
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Covered Entity Details
Entity Name
Mississippi Center for Advanced Medicine, PC
Subdivision Name
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM39110
Entity Address
7730 Old Canton Road
Bldg B
Madison, MS 39110
Grant Number
5 H30MC24046-12-00
Participating Start Date
10/1/2018
Last Recertification Date
2/21/2024
Entity Termination Date
7/1/2024
Pharmacy Details
Pharmacy Name
NOBLE HEALTH SERVICES INC.
Pharmacy Address
6040 TARBELL ROAD
SYRACUSE, NY 13206
Pharmacy Comments
Contract Details
Approval Date
10/12/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Spencer Sullivan, President
(601) 499-0935
Contract Pharmacy Representative
KPH Healthcare Services, Inc.
Debbi Barber, 340B Program Director
(315) 287-3600 Ext: 2423
Signed By Date
10/12/2018
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