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ABITACARE LLC
DSH250001 University of Mississippi Medical Center
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Covered Entity Details
Entity Name
University of Mississippi Medical Center
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH250001
Entity Address
2500 NORTH STATE ST.
JACKSON, MS 39216
Medicare Provider Number
250001
Participating Start Date
4/1/1998
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
ABITACARE LLC
Pharmacy Address
D/B/A VITAL CARE RX
1501 23RD AVE
SUITE B
MERIDIAN, MS 39301
Pharmacy Comments
Contract Details
Approval Date
10/21/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
William Thompson, CFO
(601) 984-4113
Contract Pharmacy Representative
Amanda Williamson, Director of Business Development
(601) 934-3313
Signed By Date
10/21/2013
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