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HOLLIS DISCOUNT PHARMACY
CH04910L NORTH MS PRIMARY HEALTH CARE INC
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Covered Entity Details
Entity Name
NORTH MS PRIMARY HEALTH CARE INC
Subdivision Name
Walnut Dental Center
Type
HRSA-Funded Health Center
340B ID
CH04910L
Entity Address
521 Main St
Walnut, MS 38683-9349
Grant Number
H80CS00635
Participating Start Date
10/1/2023
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
HOLLIS DISCOUNT PHARMACY
Pharmacy Address
1008 CITY AVE N
RIPLEY, MS 38663-1413
Pharmacy Comments
Contract Details
Approval Date
1/10/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Bill Stone, CEO
(662) 502-3149
Contract Pharmacy Representative
Hollis Discount Pharmacy
Jimmy Tucker, Owner
(662) 837-7323
Signed By Date
1/10/2024
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