340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
G & M OF OXFORD INC
CH049100 NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.
Print
Covered Entity Details
Entity Name
NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.
Subdivision Name
Benton Medical Center
Type
HRSA-Funded Health Center
340B ID
CH049100
Entity Address
15921 Boundary Dr
Ashland, MS 38603-7740
Grant Number
H80CS00635
Participating Start Date
9/9/2005
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
G & M OF OXFORD INC
Pharmacy Address
2159 S LAMAR BLVD
OXFORD, MS 38655-5223
Pharmacy Comments
Contract Details
Approval Date
5/2/2019
Contract Begin Date
5/2/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/26/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
JAMES D. NUNNALLY, EXECUTIVE DIRECTOR
(662) 224-8951 Ext: 230
Contract Pharmacy Representative
G & M of Oxford Inc
Weston Humphreys, Operations Manager
(662) 236-2222
Signed By Date
5/2/2019
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session