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GUY'S PHARMACY OF CRYSTAL SPRINGS
CAH251327-00 Copiah County Medical Center
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Covered Entity Details
Entity Name
Copiah County Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH251327-00
Entity Address
27190 Highway 28
HAZLEHURST, MS 39083
Medicare Provider Number
251327
Participating Start Date
7/1/2019
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
GUY'S PHARMACY OF CRYSTAL SPRINGS
Pharmacy Address
512 W MARION AVE
CRYSTAL SPRINGS, MS 39059
Pharmacy Comments
Contract Details
Approval Date
4/12/2022
Contract Begin Date
4/14/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
William T. Morgan, Chief Executive Officer
(601) 574-7200
Contract Pharmacy Representative
Guy's Pharmacy of Brookhaven
Keith Guy, Pharmacist
(601) 684-4127
Signed By Date
4/12/2022
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