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QUINN'S FAMILY PHARMACY
CH04272D EAST CENTRAL MISSISSIPPI HEALTH CARE INC
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Covered Entity Details
Entity Name
EAST CENTRAL MISSISSIPPI HEALTH CARE INC
Subdivision Name
PHILADELPHIA HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH04272D
Entity Address
10330 ROAD 375
PHILADELPHIA, MS 39350-3249
Grant Number
H80CS00431
Participating Start Date
7/1/2002
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
QUINN'S FAMILY PHARMACY
Pharmacy Address
24944 HIGHWAY 15
UNION, MS 39365-8587
Pharmacy Comments
Contract Details
Approval Date
3/29/2023
Contract Begin Date
3/29/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JILL BISHOP, CEO
(601) 625-7140
Contract Pharmacy Representative
Quinn's Family Pharmacy
Tesa Quinn, Owner
(769) 222-1054
Signed By Date
3/29/2023
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