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PEARL RIVER DRUG COMPANY
CH045770 Southeast Mississippi Rural Health Initiative, Inc.
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Covered Entity Details
Entity Name
Southeast Mississippi Rural Health Initiative, Inc.
Subdivision Name
SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.
Type
HRSA-Funded Health Center
340B ID
CH045770
Entity Address
5488 U S Highway 49
Hattiesburg, MS 39401-7806
Grant Number
H80CS00610
Participating Start Date
10/1/2002
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
PEARL RIVER DRUG COMPANY
Pharmacy Address
510 S MAIN ST
POPLARVILLE, MS 39470
Pharmacy Comments
Contract Details
Approval Date
3/31/2011
Contract Begin Date
4/1/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/13/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
3/16/2011
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