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HOSPITAL DISCOUNT DRUGS
SCH250043-00 Neshoba County General Hospital
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Covered Entity Details
Entity Name
Neshoba County General Hospital
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH250043-00
Entity Address
HWY 19 South
1001 Holland Avenue
Philadelphia, MS 39350
Medicare Provider Number
250043
Participating Start Date
1/1/2014
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
HOSPITAL DISCOUNT DRUGS
Pharmacy Address
919 HOLLAND AVE
PHILADELPHIA, MS 39350
Pharmacy Comments
Contract Details
Approval Date
12/6/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/6/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Lawrence Graeber, CEO
(601) 663-1230
Contract Pharmacy Representative
Dan Stone, Owner
(601) 656-2621
Signed By Date
12/4/2013
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