Contract Pharmacy Details

B J P PHARMACY
CH040760 G.A. CARMICHAEL FAMILY HEALTH CENTER, INC.

Covered Entity Details

Entity Name

G.A. CARMICHAEL FAMILY HEALTH CENTER, INC.

Subdivision Name

G. A. CARMICHAEL FAMILY HEALTH CENTER

Type

HRSA-Funded Health Center

340B ID

CH040760

Entity Address

1668 W Peace St
Canton, MS 39046-5332

Grant Number

H80CS00484

Participating Start Date

10/1/2013

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

B J P PHARMACY

Pharmacy Address

350 W WOODROW WILSON AVE STE 311
JACKSON, MS 39213-7681

Pharmacy Comments

Contract Details

Approval Date

4/7/2014

Contract Begin Date

7/1/2014

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

3/30/2020
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

James L Coleman, CEO
(601) 859-5213

Contract Pharmacy Representative

Signed By Date

4/7/2014

340B Drug Pricing Program Database