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SORKIN'S RX LTD
RRC250102-00 MS BAPTIST MEDICAL CENTER
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Covered Entity Details
Entity Name
MS BAPTIST MEDICAL CENTER
Subdivision Name
Type
Rural Referral Center
340B ID
RRC250102-00
Entity Address
1225 NORTH STATE ST.
JACKSON, MS 39202
Medicare Provider Number
250102
Participating Start Date
11/28/2022
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
SORKIN'S RX LTD
Pharmacy Address
D/B/A CAREMED PHARMACEUTICAL SERVICES
1985 MARCUS AVE STE 130
NEW HYDE PARK, NY 11042-2024
Pharmacy Comments
Contract Details
Approval Date
7/26/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kimberly Young, Vice President-Finance Operations
(901) 227-4080
Contract Pharmacy Representative
CareMed Specialty Pharmacy
Nina Shamayeva, Director of Pharmacy
(887) 227-3405
Signed By Date
7/26/2023
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