340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
LAB DISCOUNT DRUGS INC
DSH250077 WAYNE GENERAL HOSPITAL
Print
Covered Entity Details
Entity Name
WAYNE GENERAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH250077
Entity Address
950 MATTHEW DRIVE
WAYNESBORO, MS 39367
Medicare Provider Number
250077
Participating Start Date
4/1/2010
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
LAB DISCOUNT DRUGS INC
Pharmacy Address
923 WAYNE ST
WAYNESBORO, MS 39367
Pharmacy Comments
Contract Details
Approval Date
1/16/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/8/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Kathy Waddell, CEO
(601) 735-5151 Ext: 100
Contract Pharmacy Representative
Lab Discount Drugs, Inc.
Warren Hutto, RPh, President
(601) 735-4444
Signed By Date
1/16/2017
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