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FREDS PHARMACY #1996
CH046080 CENTRAL MISSISSIPPI HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
CENTRAL MISSISSIPPI HEALTH SERVICES, INC.
Subdivision Name
CENTRAL MISSISSIPPI HEALTH SERVICES, INC.
Type
HRSA-Funded Health Center
340B ID
CH046080
Entity Address
1134 Winter St
Jackson, MS 39204-2841
Grant Number
H80CS00860
Participating Start Date
7/1/1996
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
FREDS PHARMACY #1996
Pharmacy Address
540 RAYMOND RD
JACKSON, MS 39204-3600
Pharmacy Comments
Contract Details
Approval Date
11/27/2009
Contract Begin Date
11/27/2009
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/5/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
ROBERT SMITH, CEO
(601) 948-5572
Contract Pharmacy Representative
JERRY M. PERRY, PHARMACIST
(601) 371-0468
Signed By Date
11/18/2009
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