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POWELL DRUG STORE
CAH251325-00 COVINGTON COUNTY HOSPITAL
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Covered Entity Details
Entity Name
COVINGTON COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH251325-00
Entity Address
701 SOUTH HOLLY STREET
COLLINS, MS 39428
Medicare Provider Number
251325
Participating Start Date
8/18/2010
Last Recertification Date
9/9/2024
Pharmacy Details
Pharmacy Name
POWELL DRUG STORE
Pharmacy Address
ATTN: POWELL, BILL
519 S MAIN ST
MOUNT OLIVE, MS 39119-8901
Pharmacy Comments
Contract Details
Approval Date
10/11/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
KIRSTIE EVANS, CFO
(601) 765-6711
Contract Pharmacy Representative
Bill Powell, Owner
(601) 797-3355
Signed By Date
10/11/2013
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