340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
DSH250078 FORREST GENERAL HOSPITAL
Print
Covered Entity Details
Entity Name
FORREST GENERAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH250078
Entity Address
6051 U.S. HIGHWAY 49
HATTIESBURG, MS 39401
Medicare Provider Number
250078
Participating Start Date
7/1/2002
Last Recertification Date
9/8/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
ELLISVILLE DRUG #15828, POWERED BY WALGR
915 HILL STREET
ELLISVILLE, MS 39437
Pharmacy Comments
Contract Details
Approval Date
10/13/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ben Hester, CFO
(601) 288-4225
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/13/2022
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