340B Drug Pricing Program Database

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WAL-MART PHARMACY 10-1260
CH044470 GREENE AREA MEDICAL EXTENDERS, INC.

Covered Entity Details

LEAKESVILLE MEDICAL CENTER
HRSA-Funded Health Center
CH044470
1616 WILLIAMS DRIVE
LEAKESVILLE, MS 39451
H80CS00819
10/1/2001
1/25/2017
1/1/2018


Pharmacy Details

11228 HIGHWAY 63 SOUTH
LUCEDALE, MS 39452

Contract Details

10/14/2015
1/1/2016

1/1/2018
Covered Entity Terminated


Contacts


Angel Greer, Executive Director
(228) 374-2424



Wal-Mart
Marcus Osbourne, VP of Health and Wellness Transformation
(479) 204-9374
10/14/2015