340B Drug Pricing Program Database

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MANTACHIE PHARMACY, LLC
CH049100 NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.

Covered Entity Details

Benton Medical Center
HRSA-Funded Health Center
CH049100
15921 Boundary Dr
Ashland, MS 38603-7740
H80CS00635
9/9/2005
2/11/2025


Pharmacy Details

3309 HIGHWAY 371 N
MANTACHIE, MS 38855-7267

Contract Details

10/8/2024
1/1/2025


Contacts


Bill Stone, CEO
(662) 502-3149



Mantachie Pharmacy
katlyn Spradling, Pharmacist
(662) 322-3901
10/8/2024