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SEMINARY DRUGS
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
SEMINARY DRUGS
Pharmacy Address
TAYLORSVILLE DRUGS, DBA
300 PINE STREET
PO BOX 1397
TAYLORSVILLE, MS 39168
Pharmacy Comments
Contract Details
Approval Date
10/14/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/27/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
S.L. White III, CEO
(601) 765-6711
Contract Pharmacy Representative
Stacy Lowery, Pharmacist In Charge
(601) 245-1020
Signed By Date
10/14/2014
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