340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
RELIANT MEDICAL LLC DBA RELIANT HEALTHCA
CH046150 AARON E. HENRY COMMUNITY HEALTH SERVICES CENTER, INC.
Print
Covered Entity Details
Entity Name
AARON E. HENRY COMMUNITY HEALTH SERVICES CENTER, INC.
Subdivision Name
AARON E. HENRY - CLARKSDALE CLINIC
Type
HRSA-Funded Health Center
340B ID
CH046150
Entity Address
800 Ohio Ave
Clarksdale, MS 38614-7200
Grant Number
H80CS00480
Participating Start Date
7/1/1998
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
RELIANT MEDICAL LLC DBA RELIANT HEALTHCA
Pharmacy Address
1004 N 19TH ST
MONROE, LA 71201-5734
Pharmacy Comments
11/15/10 UPDATED ADDR (WAS 300 N. STANLEY);
Contract Details
Approval Date
1/15/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/14/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
AURELIA JONES-TAYLOR, CEO
(662) 624-4292 Ext: 1119
Contract Pharmacy Representative
Reliant
Clint Wood, Director 340B
(877) 354-2688
Signed By Date
1/15/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session