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DIKET'S PROFESSIONAL DRUGS, INC
CH04057D FAMILY HEALTH CENTER INC
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Covered Entity Details
Entity Name
FAMILY HEALTH CENTER INC
Subdivision Name
FAMILY HEALTH CTR - OB/GYN Clinic
Type
HRSA-Funded Health Center
340B ID
CH04057D
Entity Address
135 S. 11th Ave.
Laurel, MS 39440
Grant Number
H80CS00538
Participating Start Date
10/1/2009
Last Recertification Date
3/6/2025
Pharmacy Details
Pharmacy Name
DIKET'S PROFESSIONAL DRUGS, INC
Pharmacy Address
240 SOUTH 13TH AVE
PO BOX 2733
LAUREL, MS 39440
Pharmacy Comments
Contract Details
Approval Date
11/17/2009
Contract Begin Date
11/17/2009
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/2/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Rashad Ali, CEO
(601) 425-3033 Ext: 156
Contract Pharmacy Representative
KENNETH CRAWFORD, PRESIDENT
(601) 425-2527
Signed By Date
10/13/2009
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