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FIRST HEALTH PHARMACY
CAH251304-00 TALLAHATCHIE GENERAL HOSPITAL
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Covered Entity Details
Entity Name
TALLAHATCHIE GENERAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH251304-00
Entity Address
141 Dr. T.T. Lewis Circle
CHARLESTON, MS 38921
Medicare Provider Number
251304
Participating Start Date
4/1/2011
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
FIRST HEALTH PHARMACY
Pharmacy Address
1300 SUNSET DR STE C
GRENADA, MS 38901-4081
Pharmacy Comments
Contract Details
Approval Date
1/14/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/6/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
James D. Blackwood, CEO
(662) 625-5535
Contract Pharmacy Representative
Frist Health Pharmacy
David Nobile, Pharmacy Manager
(662) 226-0666
Signed By Date
1/14/2019
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