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DABBS DRUGS LLC
SCH250020-00 WEBSTER HEALTH SERVICES
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Covered Entity Details
Entity Name
WEBSTER HEALTH SERVICES
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH250020-00
Entity Address
70 MEDICAL PLAZA
EUPORA, MS 39744
Medicare Provider Number
250020
Participating Start Date
7/1/2021
Last Recertification Date
9/9/2021
Entity Termination Date
4/1/2022
Pharmacy Details
Pharmacy Name
DABBS DRUGS LLC
Pharmacy Address
24968 MS HIGHWAY 15
MATHISTON, MS 39752-6904
Pharmacy Comments
Contract Details
Approval Date
10/14/2021
Contract Begin Date
11/4/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
BRUCE J. TOPPIN, GENERAL COUNSEL, PRIVACY OFFICER & COPORATE SECRETARY
(662) 377-4229
Contract Pharmacy Representative
Dabbs Family Pharmacy
David Dabbs, owner
(662) 258-4422
Signed By Date
10/14/2021
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