340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ANDERSON PHARMACY
DSH250104 ANDERSON REGIONAL MEDICAL CENTER
Print
Covered Entity Details
Entity Name
ANDERSON REGIONAL MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH250104
Entity Address
2124 14th Street
MERIDIAN, MS 39301
Medicare Provider Number
250104
Participating Start Date
4/1/2009
Last Recertification Date
9/5/2024
Pharmacy Details
Pharmacy Name
ANDERSON PHARMACY
Pharmacy Address
2024-15TH STREET
1ST FLOOR MEDICAL TOWERSOUTH
MERIDIAN, MS 39301-4189
Pharmacy Comments
Contract Details
Approval Date
6/22/2009
Contract Begin Date
6/22/2009
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/19/2022
Agreement registered in error
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
MARK MILLING, DIRECTOR
(601) 553-6732
Signed By Date
6/15/2009
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