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KROGER FOOD & PHARMACY #427
DSH250067 CLAY COUNTY MEDICAL CORPORATION
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Covered Entity Details
Entity Name
CLAY COUNTY MEDICAL CORPORATION
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH250067
Entity Address
150 Medical Center Drive
WEST POINT, MS 39773
Medicare Provider Number
250067
Participating Start Date
4/1/2015
Last Recertification Date
9/10/2024
Pharmacy Details
Pharmacy Name
KROGER FOOD & PHARMACY #427
Pharmacy Address
1829 HWY 45 NORTH
COLUMBUS, MS 39701
Pharmacy Comments
01/03/2012 update Zip (was 39705)
Contract Details
Approval Date
7/15/2020
Contract Begin Date
7/29/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
BRUCE J. TOPPIN, GENERAL COUNSEL, PRIVACY OFFICER & COPORATE SECRETARY
(662) 377-4229
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
7/15/2020
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