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KROGER FOOD & PHARMACY #473
RRC250034-00 BAPTIST MEM HOSPITAL NORTH MISS
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Covered Entity Details
Entity Name
BAPTIST MEM HOSPITAL NORTH MISS
Subdivision Name
Type
Rural Referral Center
340B ID
RRC250034-00
Entity Address
1100 BELK BOULEVARD
OXFORD, MS 38655
Medicare Provider Number
250034
Participating Start Date
6/4/2021
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
KROGER FOOD & PHARMACY #473
Pharmacy Address
2013 UNIVERSITY AVE
OXFORD, MS 38655
Pharmacy Comments
Contract Details
Approval Date
4/19/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/21/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Kimberly Young, Vice President-Finance Operations
(901) 227-4080
Contract Pharmacy Representative
Kroger
Katie Elfers, 340B Pharmacy Administrator
(513) 762-4850
Signed By Date
4/19/2022
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