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HOSPITAL DISCOUNT DRUGS
CAH251335-00 Kemper CAH, Inc d/b/a John C. Stennis Memorial Hospital
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Covered Entity Details
Entity Name
Kemper CAH, Inc d/b/a John C. Stennis Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH251335-00
Entity Address
14365 Hwy 16 West
DeKalb, MS 39328
Medicare Provider Number
251335
Participating Start Date
10/1/2012
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
HOSPITAL DISCOUNT DRUGS
Pharmacy Address
919 HOLLAND AVE
PHILADELPHIA, MS 39350
Pharmacy Comments
Contract Details
Approval Date
4/1/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/29/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Michael Nester, ADMINISTRATOR
(601) 776-6925 Ext: 2180
Contract Pharmacy Representative
Dan Stone, Owner
(601) 656-2621
Signed By Date
4/1/2014
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