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LIBERTY DRUG STORE
CH045780 AMITE COUNTY MEDICAL SERVICES, INC.
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Covered Entity Details
Entity Name
AMITE COUNTY MEDICAL SERVICES, INC.
Subdivision Name
AMITE COUNTY MEDICAL SERVICES, INC.
Type
HRSA-Funded Health Center
340B ID
CH045780
Entity Address
102 WEST FREEDOM DRIVE
LIBERTY, MS 39645-0511
Grant Number
H80CS00609
Participating Start Date
7/1/2002
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
LIBERTY DRUG STORE
Pharmacy Address
P.O. BOX 217
110 MAIN STREET
LIBERTY, MS 39645
Pharmacy Comments
Contract Details
Approval Date
1/13/2004
Contract Begin Date
1/13/2004
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
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