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STENNIS COMMUNITY PHARMACY
CAH251335-00 Kemper CAH, Inc d/b/a John C. Stennis Memorial Hospital
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Covered Entity Details
Entity Name
Kemper CAH, Inc d/b/a John C. Stennis Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH251335-00
Entity Address
14365 Hwy 16 West
DeKalb, MS 39328
Medicare Provider Number
251335
Participating Start Date
10/1/2012
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
STENNIS COMMUNITY PHARMACY
Pharmacy Address
STENNIS COMMUNITY PHARMACY
16040 MS-16 E
DE KALB, MS 39328-8252
Pharmacy Comments
Contract Details
Approval Date
1/13/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Suzanne Mize, 340B Administrator
(205) 459-9180
Contract Pharmacy Representative
The Pharmacy at RMC
Richard Thomas, Director of Operations
(205) 588-4038
Signed By Date
1/13/2020
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