Contract Pharmacy Details

C&C DRUGS, INC
CH045770 Southeast Mississippi Rural Health Initiative, Inc.

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

C&C DRUGS, INC

Pharmacy Address

C&C DRUGS, INC
204 MAIN ST
PO BOX 327
COLLINS, MS 39428

Pharmacy Comments

Contract Details

Approval Date

7/1/2014

Contract Begin Date

10/1/2014

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

GEROLDEAN DYSE, CEO
(601) 545-8700

Contract Pharmacy Representative

Cliff Kelly, Owner
(601) 765-6817

Signed By Date

7/1/2014

340B Drug Pricing Program Database