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WALGREEN CO.
CAH251333-00 PEARL RIVER COUNTY HOSPITAL
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Covered Entity Details
Entity Name
PEARL RIVER COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH251333-00
Entity Address
305 W. MOODY STREET
POPLARVILLE, MS 39470
Medicare Provider Number
251333
Participating Start Date
4/1/2011
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 10290
1505 HIGHWAY 43 S
PICAYUNE, MS 39466-9297
Pharmacy Comments
Contract Details
Approval Date
10/2/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Bryan Keith Maxie, Regional Administrator
(601) 297-0503
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/2/2022
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