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TUPELO FAMILY PHARMACY
CH043920 MANTACHIE RURAL HEALTH CARE INC
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Covered Entity Details
Entity Name
MANTACHIE RURAL HEALTH CARE INC
Subdivision Name
Mantachie Rural Health Care, Inc.
Type
HRSA-Funded Health Center
340B ID
CH043920
Entity Address
5681 Highway 363
Mantachie, MS 38855-7632
Grant Number
H80CS00096
Participating Start Date
10/1/1996
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
TUPELO FAMILY PHARMACY
Pharmacy Address
1244 E MAIN ST.
TUPELO, MS 38804
Pharmacy Comments
Contract Details
Approval Date
7/15/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/26/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
MARJORIE MCKINNEY, CEO
(662) 282-4226 Ext: 114
Contract Pharmacy Representative
Tupelo Family Pharmacy
Terri Driskill, Manager
(662) 844-7811
Signed By Date
7/15/2019
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