340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SHILOH APOTHECARY INC.
RRC250009-00 MAGNOLIA REGIONAL HEALTH CENTER
Print
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
SHILOH APOTHECARY INC.
Pharmacy Address
2049 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
Shiloh Apothecary Inc.
Stephanie Mathis, Manager
(662) 594-1573
Signed By Date
7/17/2023
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