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WALGREEN CO.
CH042720 EAST CENTRAL MISSISSIPPI HEALTH CARE, INC.
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Covered Entity Details
Entity Name
EAST CENTRAL MISSISSIPPI HEALTH CARE, INC.
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH042720
Entity Address
1490 HIGHWAY 487
SEBASTOPOL, MS 39359
Grant Number
H80CS00431
Participating Start Date
7/1/2002
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 07580
1415 24TH AVE
MERIDIAN, MS 39301-3930
Pharmacy Comments
Contract Details
Approval Date
4/12/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JILL BISHOP, CEO
(601) 625-7140
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/12/2016
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