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PEARL RIVER DRUG COMPANY
CH04577F SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.
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Covered Entity Details
Entity Name
SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.
Subdivision Name
LUMBERTON FAMILY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH04577F
Entity Address
598 WEST 11TH AVENUE
LUMBERTON, MS 39455
Grant Number
H80CS00610
Participating Start Date
10/1/2003
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
PEARL RIVER DRUG COMPANY
Pharmacy Address
510 S MAIN ST
POPLARVILLE, MS 39470
Pharmacy Comments
Contract Details
Approval Date
11/15/2010
Contract Begin Date
11/15/2010
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/13/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
HOPE THOMLEY, CEO
(601) 545-8700
Contract Pharmacy Representative
LAWRENCE HOLDEN, PRESIDENT
(601) 795-4239
Signed By Date
10/29/2010
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