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SONSHINE PHARMACY OF NETTLETON
CAH251302-00 BOA VIDA HOSPITAL OF ABERDEEN, MS, LLC, D/B/A MONROE REGIONAL HOSPITAL
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Covered Entity Details
Entity Name
BOA VIDA HOSPITAL OF ABERDEEN, MS, LLC, D/B/A MONROE REGIONAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH251302-00
Entity Address
400 SOUTH CHESTNUT ST
ABERDEEN, MS 39730
Medicare Provider Number
251302
Participating Start Date
9/24/2010
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
SONSHINE PHARMACY OF NETTLETON
Pharmacy Address
7230 HIGHWAY 45 N
NETTLETON, MS 38858-9399
Pharmacy Comments
Contract Details
Approval Date
1/20/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2023
Ownership change
Contacts
Covered Entity Signing Official
Chris Chandler, CEO
(662) 369-2455
Contract Pharmacy Representative
Sonshine Pharmacy of Nettleton
Susan Willis, Owner
(662) 840-5601
Signed By Date
1/20/2021
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