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THOMAS DRUG COMPANY
CAH251324-00 WALTHALL GENERAL HOSPITAL
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Covered Entity Details
Entity Name
WALTHALL GENERAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH251324-00
Entity Address
100 HOSPITAL DRIVE
TYLERTOWN, MS 39667-2022
Medicare Provider Number
251324
Participating Start Date
10/1/2011
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
THOMAS DRUG COMPANY
Pharmacy Address
DBA BRUMFIELD'S DRUGS
109 BALL AVE
TYLERTOWN, MS 39667
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
Bryan Keith Maxie, Regional Administrator
(601) 297-0503
Contract Pharmacy Representative
Thomas Drug Company dba Brumfield's Drugs
Jennifer Thomas, Owner
(662) 415-3874
Signed By Date
1/10/2024
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