340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
BOONEVILLE COMMUNITY PHARMACY
CH04910C NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.
Print
Covered Entity Details
Entity Name
NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.
Subdivision Name
Booneville Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH04910C
Entity Address
208 N 1st St
Booneville, MS 38829-2718
Grant Number
H80CS00635
Participating Start Date
4/1/2006
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
BOONEVILLE COMMUNITY PHARMACY
Pharmacy Address
206 N 2ND ST
BOONEVILLE, MS 38829-2702
Pharmacy Comments
Contract Details
Approval Date
4/1/2006
Contract Begin Date
4/1/2006
Carve-In Effective Date
Contract Comments
7/9/08 UPDATED ADDR (WAS 207 N FIRST STREET)
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
1/6/2006
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