340B Drug Pricing Program Database

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WAL-MART PHARMACY 10-0176
CAH250010-00 TIPPAH COUNTY HOSPITAL

Covered Entity Details

Critical Access Hospital
CAH250010-00
1005 CITY AVE N
RIPLEY, MS 38663
250010
10/1/2015
8/21/2018
10/1/2019


Pharmacy Details

822 CITY AVE SOUTH
RIPLEY, MS 38663

Contract Details

1/8/2016
4/1/2016

10/1/2019
Covered Entity Terminated


Contacts


Bob Jones, Interim CEO
(662) 837-9221



WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
1/8/2016