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AHSSHC
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
AHSSHC
Pharmacy Address
EXPEDIEN RX PHARMACY
5050 WESLEY RD STE 120
APOPKA, FL 32712
Pharmacy Comments
Contract Details
Approval Date
10/14/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/31/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
JILL BISHOP, CEO
(601) 625-7140
Contract Pharmacy Representative
Agape
Trenia Yielding, Executive Director
(407) 357-2601
Signed By Date
10/14/2019
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