340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
CH040750 CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC.
Print
Covered Entity Details
Entity Name
CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC.
Subdivision Name
CENTRAL MS CIVIC IMPROVEMENT ASSOC., INC.D/B/A JACKSON-HINDS COMPREHENSIVE HEATLH CENTER MAIN SITE
Type
HRSA-Funded Health Center
340B ID
CH040750
Entity Address
3502 W Northside Dr
Jackson, MS 39213-4454
Grant Number
H80CS00084
Participating Start Date
12/1/1992
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 05791
1497 CANTON MART RD
JACKSON, MS 39211
Pharmacy Comments
Contract Details
Approval Date
7/17/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jasmin Chapman, CEO
(601) 364-5142
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/17/2013
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