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WAL-MART PHARMACY 10-0205
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
WAL-MART PHARMACY 10-0205
Pharmacy Address
1002 BEACON ST
PHILADELPHIA, MS 39350
Pharmacy Comments
Contract Details
Approval Date
1/15/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lawrence Graeber, CEO
(601) 663-1230
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
1/15/2014
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