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MACON CITY DRUG STORE
CAH251307-00 NOXUBEE GENERAL CRITICAL ACCESS HOSPITAL
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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
MACON CITY DRUG STORE
Pharmacy Address
DBA CITY DRUG STORE
3281 JEFFERSON ST
PO BOX 424
MACON, MS 39341
Pharmacy Comments
Contract Details
Approval Date
1/3/2012
Contract Begin Date
1/3/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Danny McKay, CEO
(662) 726-4231
Contract Pharmacy Representative
Bill Bell, Manager
(662) 726-5143
Signed By Date
12/16/2011
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