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SUPER-SAVE DRUGS
CAH251330-00 FRANKLIN COUNTY MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
FRANKLIN COUNTY MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH251330-00
Entity Address
40 UNION CHURCH RD
MEADVILLE, MS 39653
Medicare Provider Number
251330
Participating Start Date
4/1/2014
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
SUPER-SAVE DRUGS
Pharmacy Address
488 MAIN STREET E
PO BOX 189
MEADVILLE, MS 39653
Pharmacy Comments
Contract Details
Approval Date
10/17/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/7/2018
Ownership change
Contacts
Covered Entity Signing Official
MIKE BOLWARE, ADMINISTRATOR
(601) 384-8126
Contract Pharmacy Representative
James Savage, Owner
(601) 384-2288
Signed By Date
10/17/2016
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