340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
UNION DISCOUNT PHARMACY INC
CAH251322-00 LAIRD HOSPITAL, INC.
Print
Covered Entity Details
Entity Name
LAIRD HOSPITAL, INC.
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH251322-00
Entity Address
25117 HWY 15 BYPASS
UNION, MS 39365
Medicare Provider Number
251322
Participating Start Date
1/1/2011
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
UNION DISCOUNT PHARMACY INC
Pharmacy Address
25025 HWY 15
UNION, MS 39365
Pharmacy Comments
Contract Details
Approval Date
4/5/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/15/2015
Pharmacy closed
Contacts
Covered Entity Signing Official
THOMAS BARTLETT, HOSPITAL ADMINISTRATOR
(601) 774-8214 Ext: 1500
Contract Pharmacy Representative
Amy Booker, Pharmacy Manager
(601) 774-2772
Signed By Date
4/5/2013
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