340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
YAZOO DRUGS
CAH251338-00 Sharkey Issaquena Community Hospital
Print
Covered Entity Details
Entity Name
Sharkey Issaquena Community Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH251338-00
Entity Address
19719 Hwy 61
Rolling Fork, MS 39159
Medicare Provider Number
251338
Participating Start Date
7/1/2020
Last Recertification Date
8/17/2023
Entity Termination Date
10/1/2024
Pharmacy Details
Pharmacy Name
YAZOO DRUGS
Pharmacy Address
730 E FIFTEENTH ST
YAZOO CITY, MS 39194
Pharmacy Comments
Contract Details
Approval Date
4/1/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/30/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Steven Gerald Keever, CEO
(662) 873-4395 Ext: 150
Contract Pharmacy Representative
Rolling Fork Drug Co
Guy Phillips, President
(662) 887-4135
Signed By Date
4/1/2022
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