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WAL-MART PHARMACY 10-1192
CAH251317-01 SIMPSON GENERAL HOSPITAL
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Covered Entity Details
Entity Name
SIMPSON GENERAL HOSPITAL
Subdivision Name
SGH MEDICAL CLINIC
Type
Critical Access Hospital
340B ID
CAH251317-01
Entity Address
1827 C SIMPSON HWY 149
MENDENHALL, MS 39114
Medicare Provider Number
251317
Outpatient Facility Provider Number
Participating Start Date
10/1/2011
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1192
Pharmacy Address
1625 SIMPSON HIGHWAY #49
MAGEE, MS 39111
Pharmacy Comments
Contract Details
Approval Date
7/13/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Gregg Gibbes, CEO/ Administrator
(601) 847-7151
Contract Pharmacy Representative
Walmart
Julie Howard, 340B Program Manager
(479) 277-1498
Signed By Date
7/13/2022
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