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FRED'S PHARMACY #2099
CH04306A NORTHEAST MISSISSIPPI HEALTH CARE, INC.
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Covered Entity Details
Entity Name
NORTHEAST MISSISSIPPI HEALTH CARE, INC.
Subdivision Name
MT. PLEASANT FAMILY HLTH CLINIC
Type
HRSA-Funded Health Center
340B ID
CH04306A
Entity Address
154 OLD MT. PLEASANT ROAD
MOUNT PLEASANT, MS 38635
Grant Number
H80CS00432
Participating Start Date
10/1/2004
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
FRED'S PHARMACY #2099
Pharmacy Address
15 EAST STONEWALL RD
BYHALIA, MS 38611
Pharmacy Comments
11/30/2011 updated address (was 2438 Church Street P.O. Box 407)
Contract Details
Approval Date
9/20/2011
Contract Begin Date
9/20/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/30/2018
Pharmacy closed
Contacts
Covered Entity Signing Official
MARJORIE MCKINNEY, EXECUTIVE DIRECTOR
(662) 838-2163 Ext: 214
Contract Pharmacy Representative
Shannon Strickland, SVP, Pharmacy Development
(901) 238-3113
Signed By Date
9/20/2011
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