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YAZOO DRUGS
CAH251313-00 Baptist Medical Center Yazoo
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Covered Entity Details
Entity Name
Baptist Medical Center Yazoo
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH251313-00
Entity Address
823 Grand Ave
Yazoo City, MS 39194
Medicare Provider Number
251313
Participating Start Date
1/1/2013
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
YAZOO DRUGS
Pharmacy Address
730 E FIFTEENTH ST
YAZOO CITY, MS 39194
Pharmacy Comments
Contract Details
Approval Date
7/16/2014
Contract Begin Date
10/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/11/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
James A. Miller, CFO
(662) 751-8152
Contract Pharmacy Representative
Scott Brody, 340B Acct Mgr
(978) 609-1727
Signed By Date
7/16/2014
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