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MISSISSIPPI CVS PHARMACY, L.L.C.
DSH250067 CLAY COUNTY MEDICAL CORPORATION
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Covered Entity Details
Entity Name
CLAY COUNTY MEDICAL CORPORATION
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH250067
Entity Address
150 Medical Center Drive
WEST POINT, MS 39773
Medicare Provider Number
250067
Participating Start Date
4/1/2015
Last Recertification Date
9/10/2024
Pharmacy Details
Pharmacy Name
MISSISSIPPI CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 05573
401 HWY 12 EAST
STARKVILLE, MS 39759
Pharmacy Comments
Contract Details
Approval Date
10/14/2021
Contract Begin Date
11/4/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
BRUCE J. TOPPIN, GENERAL COUNSEL, PRIVACY OFFICER & COPORATE SECRETARY
(662) 377-4229
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/14/2021
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