340B Drug Pricing Program Database

Pharmacy Name

PEARL RIVER DRUG COMPANY

Pharmacy Address

510 S MAIN ST
POPLARVILLE, MS 39470

Pharmacy Comments

Approval Date

10/20/2011

Contract Begin Date

7/12/2011

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/4/2017
Agreement registered in error

Covered Entity Signing Official


Contract Pharmacy Representative

Signed By Date