340B Drug Pricing Program Database

Pharmacy Name

ABITACARE LLC

Pharmacy Address

D/B/A VITAL CARE RX
1501 23RD AVE
SUITE B
MERIDIAN, MS 39301

Pharmacy Comments

Approval Date

7/12/2019

Contract Begin Date

10/1/2019

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/10/2023
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

John G. Anderson, CEO
(601) 553-6104

Contract Pharmacy Representative

Anderson Regional Medical Center
HOLLY MOORE, DIRECTOR OF INPATIENT PHARMACY
(601) 553-6606

Signed By Date

7/12/2019