340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
BURNSVILLE DISCOUNT DRUGS
RRC250009-00 MAGNOLIA REGIONAL HEALTH CENTER
Print
Covered Entity Details
Entity Name
MAGNOLIA REGIONAL HEALTH CENTER
Subdivision Name
Type
Rural Referral Center
340B ID
RRC250009-00
Entity Address
611 ALCORN DRIVE
CORINTH, MS 38834
Medicare Provider Number
250009
Participating Start Date
4/1/2017
Last Recertification Date
8/15/2024
Entity Termination Date
4/1/2025
Pharmacy Details
Pharmacy Name
BURNSVILLE DISCOUNT DRUGS
Pharmacy Address
603 S HIGHWAY 365
BURNSVILLE, MS 38833
Pharmacy Comments
Contract Details
Approval Date
1/12/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Stephen Ray Thames, CFO
(662) 293-7647
Contract Pharmacy Representative
Burnsville Discount Drugs
Dylan Rider, Pharmacist in Charge
(662) 427-0100
Signed By Date
1/12/2024
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session