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GUY'S PHARMACY OF HAZLEHURST
CAH251327-00 Copiah County Medical Center
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Covered Entity Details
Entity Name
Copiah County Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH251327-00
Entity Address
27190 Highway 28
HAZLEHURST, MS 39083
Medicare Provider Number
251327
Participating Start Date
7/1/2019
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
GUY'S PHARMACY OF HAZLEHURST
Pharmacy Address
212 CALDWELL DR
HAZLEHURST, MS 39083
Pharmacy Comments
Contract Details
Approval Date
4/3/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
William T. Morgan, Chief Executive Officer
(601) 574-7200
Contract Pharmacy Representative
Guy's Pharmacy of Brookhaven
Keith Guy, Pharmacist
(601) 684-4127
Signed By Date
4/3/2023
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