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SSD, LLC
CH04910D NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.
Entity Name
NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.
Subdivision Name
Corinth Health Care Associates
Type
HRSA-Funded Health Center
340B ID
CH04910D
Entity Address
1415 S. Harper Road
Corinth, MS 38834-3727
Grant Number
H80CS00635
Participating Start Date
4/1/2006
Last Recertification Date
2/4/2024
Pharmacy Name
SSD, LLC
Pharmacy Address
498 W BANKHEAD ST
NEW ALBANY, MS 38652-3319
Pharmacy Comments
Approval Date
10/16/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Covered Entity Signing Official
Bill Stone, CEO
(662) 502-3149
Signed By Date
10/16/2023
Contract Pharmacy Representative
ssd
Robert Bailey, Owner/Pharmacist
(662) 534-4774
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