Contract Pharmacy Details

AMAZON PHARMACY #001
CH042720 EAST CENTRAL MISSISSIPPI HEALTH CARE, INC.

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

AMAZON PHARMACY #001

Pharmacy Address

4500 S PLEASANT VALLEY RD STE 201
AUSTIN, TX 78744-2911

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

PillPack, Inc.
Geoff Swindle, Administrator
(855) 745-5725

Signed By Date

10/14/2019

340B Drug Pricing Program Database