Contract Pharmacy Details

GUNN DRUG COMPANY
RRC250009-00 MAGNOLIA REGIONAL HEALTH CENTER

Covered Entity Details

Entity Name

MAGNOLIA REGIONAL HEALTH CENTER

Subdivision Name

Type

Rural Referral Center

340B ID

RRC250009-00

Entity Address

611 ALCORN DRIVE
CORINTH, MS 38834

Medicare Provider Number

250009

Participating Start Date

4/1/2017

Last Recertification Date

8/15/2024

Entity Termination Date

4/1/2025

Pharmacy Details

Pharmacy Name

GUNN DRUG COMPANY

Pharmacy Address

1815 E SHILOH RD
CORINTH, MS 38834

Pharmacy Comments

Contract Details

Approval Date

7/17/2023

Contract Begin Date

10/1/2023

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2025
Covered Entity Terminated

Contacts

Covered Entity Signing Official

James McLaughlin Hobson, Chief Executive Officer
(662) 293-7661

Contract Pharmacy Representative

Gunn Drug Co
Chris Elliott, VP, PIC, PharmD
(662) 287-8062

Signed By Date

7/17/2023

340B Drug Pricing Program Database