340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
THE PHARMACY AT THE MEDICAL CENTER
CAH251305-00 LAWRENCE COUNTY HOSPITAL
Print
Covered Entity Details
Entity Name
LAWRENCE COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH251305-00
Entity Address
1065 EAST BROAD ST
MONTICELLO, MS 39654
Medicare Provider Number
251305
Participating Start Date
10/1/2015
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
THE PHARMACY AT THE MEDICAL CENTER
Pharmacy Address
206 MARION AVE
MCCOMB, MS 39648-2705
Pharmacy Comments
Contract Details
Approval Date
4/9/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Phillip Wayne Langston, CEO
(601) 587-1202
Contract Pharmacy Representative
Maxor
Joel Wright, President
(580) 531-5858
Signed By Date
4/9/2025
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