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WALNUT GROVE PLAZA PHARMACY #2
RRC250141-00 BAPTIST MEM HOSPITAL DESOTO
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Covered Entity Details
Entity Name
BAPTIST MEM HOSPITAL DESOTO
Subdivision Name
Type
Rural Referral Center
340B ID
RRC250141-00
Entity Address
7601 SOUTHCREST
SOUTHAVEN, MS 38671
Medicare Provider Number
250141
Participating Start Date
11/12/2020
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
WALNUT GROVE PLAZA PHARMACY #2
Pharmacy Address
6029 WALNUT GROVE RD
STE 110
MEMPHIS, TN 38120
Pharmacy Comments
Contract Details
Approval Date
12/12/2023
Contract Begin Date
12/12/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Cyndi Pittman, VP Financial Operations
(901) 227-8480
Contract Pharmacy Representative
Baptist Memorial Health Care Corp
Donna C Cox, Director 340B
(901) 227-5144
Signed By Date
12/12/2023
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