Velarion Records

Public registries, as they were filed.

Children’s hospital · MS

MANTACHIE RURAL HEALTH CARE INC

  • 0Registered locations
  • 1Associated locations
  • 46Contract pharmacies
  • 35With no end date
  • 1 April 2016In 340B since

Finances, as filed

This entity type does not file a Medicare cost report; no finances are recorded.

Changes recorded

Nothing on this record has moved since it was first read here on 6 September 2026.

Download this hospital’s data (CSV)
Cite this page

Velarion Records, “MANTACHIE RURAL HEALTH CARE INC” (340B ID CH04392B), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/CH04392B

Register detail and identifiers

Participation, as filed

Participating
TRUE
Participation start date
1 April 2016
Certification date
2 February 2026
Record last edited
2 February 2026

Identifiers

340B ID
CH04392B
Entity type as filed
CH
Site ID
BPS-H80-003665
Grant number
H80CS00096

5500 Highway 363, Mantachie MS 38855

Associated locations

OrganizationAddressWhere
MANTACHIE RURAL HEALTH CARE INC5500 Highway 363Mantachie MS 38855

Pharmacy contracts

PharmacyWhereBeginsEnds
ACCREDO HEALTH GROUP INCTEMPE, AZ1 April 2021no end date filed
ACCREDO HEALTH GROUP INCWARRENDALE, PA1 April 2021no end date filed
ACCREDO HEALTH GROUP INCMEMPHIS, TN1 April 2021no end date filed
ACCREDO HEALTH GROUP, INC.NEWARK, DE1 April 2021no end date filed
ACCREDO HEALTH GROUP, INC.ORLANDO, FL1 April 2021no end date filed
ACCREDO HEALTH GROUP, INC.INDIANAPOLIS, IN1 April 2021no end date filed
AVITA PHARMACY 1060WARRENDALE, PA1 April 2016no end date filed
BIOLOGICS, INC.CARY, NC1 January 2021no end date filed
ESI MAIL PHARMACY SERVICETEMPE, AZ1 April 2021no end date filed
EXPRESS SCRIPTSSAINT LOUIS, MO1 April 2021no end date filed
EXPRESS SCRIPTS PHARMACY, INC.WHITESTOWN, IN1 April 2021no end date filed
EXPRESS SCRIPTS PHARMACY, INC.BURLINGTON, NJ1 April 2021no end date filed
GENOA HEALTHCARE LLCPHOENIX, AZ1 October 2022no end date filed
MANTACHIE PHARMACY, LLCMANTACHIE, MS1 January 2019no end date filed
MISSISSIPPI CVS PHARMACY, L.L.C.TUPELO, MS1 October 2020no end date filed
MISSISSIPPI CVS PHARMACY, L.L.C.BOONEVILLE, MS1 October 2020no end date filed
OPTUM PHARMACY 700, LLCOVIEDO, FL1 January 2021no end date filed
OPTUM PHARMACY 701, LLCFLINT, MI1 October 2023no end date filed
OPTUM PHARMACY 702, LLCJEFFERSONVILLE, IN1 January 2021no end date filed
OPTUM PHARMACY 704, INC.SAN ANTONIO, TX1 January 2021no end date filed
OPTUM PHARMACY 705, LLCCOLUMBUS, MS1 January 2021no end date filed
OPTUM PHARMACY 705, LLCBIRMINGHAM, AL1 January 2021no end date filed
OPTUM PHARMACY 705, LLCFRANKLIN, TN1 January 2021no end date filed
OPTUM PHARMACY 801, INC.PHOENIX, AZ1 January 2021no end date filed
OPTUMRXOVERLAND PARK, KS1 October 2023no end date filed
PHARMBLUE LLCRIDGWAY, PA1 April 2016no end date filed
PHARMBLUE LLC DBA AVITA PHARMACY 1059PHILADELPHIA, PA1 April 2016no end date filed
TRINITY'S PHARMACYMANTACHIE, MS1 October 2023no end date filed
US BIOSERVICESCARROLLTON, TX1 January 2021no end date filed
WAL-MART CENTRAL FILL 10-2670SPRING, TX1 January 2021no end date filed
WAL-MART PHARMACY 10-0273FULTON, MS1 April 2019no end date filed
WAL-MART PHARMACY 10-5315ORLANDO, FL1 April 2021no end date filed
WAL-MART PHARMACY 10-5997ORLANDO, FL1 January 2021no end date filed
WALMART PHARMACY 10-5169ROGERS, AR1 October 2023no end date filed
Walmart Pharmacy 10-7611Plainfield, IN1 January 2024no end date filed
OPTUM PHARMACY 805, INCPHOENIX, AZ1 January 202120 March 2024
SALTILLO PHARMACY AND SOLUTIONSSALTILLO, MS15 December 20205 March 2024
TUPELO FAMILY PHARMACYTUPELO, MS1 October 201926 December 2023
NOVIXUS PHARMACY SERVICESNOVI, MI1 January 20211 October 2023
PHARMBLUE NORTH CAROLINA LLCROCKY MOUNT, NC1 January 20211 October 2023
PHARMBLUE TENNESSEE LLCFRANKLIN, TN1 January 20211 October 2023
SONSHINE PHARMACY OF MANTACHIEMANTACHIE, MS1 January 202025 September 2023
OPTUM PHARMACY 800, INC.AUSTIN, TX1 January 20211 July 2021
SALTILLO PHARMACYSALTILLO, MS1 October 201915 December 2020
S & W PHARMACYFULTON, MS1 July 20192 June 2020
FRED'S PHARMACY # 2474MANTACHIE, MS1 January 201931 March 2020

Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.