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COUNTY DISCOUNT DRUG
SCH250036-00 GEORGE COUNTY HOSPITAL
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Covered Entity Details
Entity Name
GEORGE COUNTY HOSPITAL
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH250036-00
Entity Address
859 WINTER STREET
LUCEDALE, MS 39452-6603
Medicare Provider Number
250036
Participating Start Date
4/1/2011
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
COUNTY DISCOUNT DRUG
Pharmacy Address
COUNTY DISCOUNT DRUG, INC.
820 HALL ST
WIGGINS, MS 39577-3957
Pharmacy Comments
Contract Details
Approval Date
1/8/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/8/2023
Ownership change
Contacts
Covered Entity Signing Official
Christy E Roberts, Compliance
(601) 766-6394
Contract Pharmacy Representative
County Discount Drug
Wes Parker, Owner
(601) 928-4482
Signed By Date
1/8/2020
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