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GATLIN'S PHARMACY
CH049100 NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.
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Covered Entity Details
Entity Name
NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.
Subdivision Name
Benton Medical Center
Type
HRSA-Funded Health Center
340B ID
CH049100
Entity Address
15921 Boundary Dr
Ashland, MS 38603-7740
Grant Number
H80CS00635
Participating Start Date
9/9/2005
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
GATLIN'S PHARMACY
Pharmacy Address
18 FIRST STREET
PO BOX 369
TISHOMINGO, MS 38873
Pharmacy Comments
Contract Details
Approval Date
5/17/2011
Contract Begin Date
6/1/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2016
Ownership change
Contacts
Covered Entity Signing Official
JAMES D. NUNNALLY, CEO
(662) 224-8951
Contract Pharmacy Representative
Barnett Apothecary
STEVE BARNETT, PRESIDENT
(662) 438-6605
Signed By Date
5/13/2011
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