340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
KROGER FOOD & PHARMACY #427
CAH251307-00 NOXUBEE GENERAL CRITICAL ACCESS HOSPITAL
Print
Covered Entity Details
Entity Name
NOXUBEE GENERAL CRITICAL ACCESS HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH251307-00
Entity Address
78 HOSPITAL RD
MACON, MS 39341
Medicare Provider Number
251307
Participating Start Date
10/1/2010
Last Recertification Date
9/5/2024
Pharmacy Details
Pharmacy Name
KROGER FOOD & PHARMACY #427
Pharmacy Address
1829 HWY 45 NORTH
COLUMBUS, MS 39701
Pharmacy Comments
01/03/2012 update Zip (was 39705)
Contract Details
Approval Date
1/3/2012
Contract Begin Date
1/3/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/25/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Danny McKay, CEO
(662) 726-4231
Contract Pharmacy Representative
Kroger
Mike Puccini, New Business Development Manager
(513) 762-4672
Signed By Date
11/29/2011
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session