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OXFORD RX
CH04910C NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.
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Covered Entity Details
Entity Name
NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.
Subdivision Name
Booneville Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH04910C
Entity Address
208 N 1st St
Booneville, MS 38829-2718
Grant Number
H80CS00635
Participating Start Date
4/1/2006
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
OXFORD RX
Pharmacy Address
705 N LAMAR BLVD
OXFORD, MS 38655
Pharmacy Comments
Contract Details
Approval Date
10/16/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Bill Stone, CEO
(662) 502-3149
Contract Pharmacy Representative
Oxford Rx
Josh White, Owner
(662) 380-5300
Signed By Date
10/16/2023
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