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MEDICAL CENTER PHARMACY
CH04577P Southeast Mississippi Rural Health Initiative, Inc.
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Covered Entity Details
Entity Name
Southeast Mississippi Rural Health Initiative, Inc.
Subdivision Name
Picayune Family Health Center
Type
HRSA-Funded Health Center
340B ID
CH04577P
Entity Address
1911 Read Rd
Picayune, MS 39466-2730
Grant Number
H80CS00610
Participating Start Date
10/1/2010
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
MEDICAL CENTER PHARMACY
Pharmacy Address
141 KIRKWOOD ST
PICAYUNE, MS 39466-3946
Pharmacy Comments
Contract Details
Approval Date
11/15/2010
Contract Begin Date
11/15/2010
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
HOPE THOMLEY, CEO
(601) 545-8700
Contract Pharmacy Representative
ALAN KEITH DOSSET, PRESIDENT
(601) 798-2100
Signed By Date
11/4/2010
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