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MISSISSIPPI CVS PHARMACY, L.L.C.
CAH251336-00 Baptist Medical Center Attala
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Covered Entity Details
Entity Name
Baptist Medical Center Attala
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH251336-00
Entity Address
220 Hwy 12 W
Kosciusko, MS 39090
Medicare Provider Number
251336
Participating Start Date
4/1/2014
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
MISSISSIPPI CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 05883
108 HWY 12 EAST
KOSCIUSKO, MS 39090
Pharmacy Comments
Contract Details
Approval Date
1/13/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kimberly Young, Vice President-Finance Operations
(901) 227-4080
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/13/2022
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