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RIPLEY DRUG CO
CH04910B NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.
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Covered Entity Details
Entity Name
NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.
Subdivision Name
Ripley Health Care Associates
Type
HRSA-Funded Health Center
340B ID
CH04910B
Entity Address
749 S Line St
RIPLEY, MS 38663
Grant Number
H80CS00635
Participating Start Date
4/1/2006
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
RIPLEY DRUG CO
Pharmacy Address
1010 CITY AVE N
P.O. BOX 415
RIPLEY, MS 38663-1413
Pharmacy Comments
Contract Details
Approval Date
4/1/2006
Contract Begin Date
4/1/2006
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
1/6/2006
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