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SSD, LLC
CH04910E NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.
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Covered Entity Details
Entity Name
NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.
Subdivision Name
New Albany Health Care Associates
Type
HRSA-Funded Health Center
340B ID
CH04910E
Entity Address
488 W Bankhead St
New Albany, MS 38652-3115
Grant Number
H80CS00635
Participating Start Date
1/1/2017
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
SSD, LLC
Pharmacy Address
498 W BANKHEAD ST
NEW ALBANY, MS 38652-3319
Pharmacy Comments
Contract Details
Approval Date
10/14/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
ssd
Robert Bailey, Owner/Pharmacist
(662) 534-4774
Signed By Date
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