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ABITACARE LLC
CH046150 AARON E. HENRY COMMUNITY HEALTH SERVICES CENTER, INC.
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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
ABITACARE LLC
Pharmacy Address
D/B/A VITAL CARE RX
1501 23RD AVE
SUITE B
MERIDIAN, MS 39301
Pharmacy Comments
Contract Details
Approval Date
10/15/2020
Contract Begin Date
10/21/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
AURELIA JONES-TAYLOR, CEO
(662) 624-4292 Ext: 1119
Contract Pharmacy Representative
Vital Care
Brad Gilchrist, COO
(601) 482-4003
Signed By Date
10/15/2020
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