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HAMMOND'S PHARMACY
CAH251312-00 TYLER HOLMES MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
TYLER HOLMES MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH251312-00
Entity Address
409 Tyler Holmes Drive
WINONA, MS 38967
Medicare Provider Number
251312
Participating Start Date
1/1/2018
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
HAMMOND'S PHARMACY
Pharmacy Address
212 N APPLEGATE ST
P.O.BOX 309
WINONA, MS 38967-2124
Pharmacy Comments
Contract Details
Approval Date
4/16/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Cori H Bailey, Administrator
(662) 283-4114 Ext: 6126
Contract Pharmacy Representative
Hammond's Pharmacy
Gay Hammond, Rph
(662) 283-8802
Signed By Date
4/16/2018
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