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FRED'S PHARMACY #2406
CAH251323-00 SCOTT REGIONAL HOSPITAL
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Covered Entity Details
Entity Name
SCOTT REGIONAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH251323-00
Entity Address
317 HIGHWAY 13 SOUTH
MORTON, MS 39117
Medicare Provider Number
251323
Participating Start Date
1/1/2011
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
FRED'S PHARMACY #2406
Pharmacy Address
5186 HIGHWAY 80
MORTON, MS 39117
Pharmacy Comments
Contract Details
Approval Date
4/9/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/19/2018
Pharmacy closed
Contacts
Covered Entity Signing Official
MICHAEL EDWARDS, ADMINISTRATOR
(601) 732-6301 Ext: 1060
Contract Pharmacy Representative
Shannon Strickland, SVP, Pharmacy Development
(901) 238-3113
Signed By Date
4/9/2015
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