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CONDON'S EAST UNION PHARMACY
DSH250082 DELTA HEALTH-THE MEDICAL CENTER
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Covered Entity Details
Entity Name
DELTA HEALTH-THE MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH250082
Entity Address
1400 EAST UNION STREET
GREENVILLE, MS 38703
Medicare Provider Number
250082
Participating Start Date
7/1/2004
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
CONDON'S EAST UNION PHARMACY
Pharmacy Address
1403 E UNION ST
GREENVILLE, MS 38703-3247
Pharmacy Comments
Contract Details
Approval Date
6/1/2010
Contract Begin Date
6/1/2010
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/1/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
HOWARD L. CHRISTIAN, REGISTERED PHARMACIST /OWNER
(662) 332-0941
Signed By Date
4/5/2010
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