340B Drug Pricing Program Database

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MISSISSIPPI CVS PHARMACY, L.L.C.
CH04392C MANTACHIE RURAL HEALTH CARE INC

Covered Entity Details

Mantachie Rural Health Care Behavioral Health Clinic
HRSA-Funded Health Center
CH04392C
5510 Highway 363
Mantachie, MS 38855
H80CS00096
4/1/2018
2/24/2025


Pharmacy Details

DBA: CVS/PHARMACY # 04536
301 AMERICAN AVENUE
BOONEVILLE, MS 38829

Contract Details

7/22/2020
10/1/2020


Contacts


MARJORIE MCKINNEY, CEO
(662) 282-4226 Ext: 114



CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
7/22/2020