340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ANDERSON'S PHARMACY
CAH251312-00 TYLER HOLMES MEMORIAL HOSPITAL
Print
Covered Entity Details
Entity Name
TYLER HOLMES MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH251312-00
Entity Address
409 Tyler Holmes Drive
WINONA, MS 38967
Medicare Provider Number
251312
Participating Start Date
1/1/2018
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
ANDERSON'S PHARMACY
Pharmacy Address
112 E MAIN ST
PO BOX 250
NORTH CARROLLTON, MS 38947-2000
Pharmacy Comments
Contract Details
Approval Date
7/7/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Cori H Bailey, Administrator
(662) 283-4114 Ext: 6126
Contract Pharmacy Representative
ANDERSON'S PHARMACY
LISA SMITH, OWNER
(662) 237-9294
Signed By Date
7/7/2021
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session