Children’s hospital · MS
Mantachie Rural Health Care Inc
- 0Registered locations
- 1Associated locations
- 10Contract pharmacies
- 8With no end date
- 1 July 2022In 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.
Cite this page
Velarion Records, “Mantachie Rural Health Care Inc” (340B ID CH04392D), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/CH04392D
Register detail and identifiers
Participation, as filed
- Participating
- TRUE
- Participation start date
- 1 July 2022
- Certification date
- 2 February 2026
- Record last edited
- 2 February 2026
Identifiers
- 340B ID
- CH04392D
- Entity type as filed
- CH
- Site ID
- BPS-H80-027986
- Grant number
- H80CS00096
311 Mustang Dr, Mantachie MS 38855
Associated locations
| Organization | Address | Where |
|---|---|---|
| Mantachie Rural Health Care Inc | 311 Mustang Dr | Mantachie MS 38855 |
Pharmacy contracts
| Pharmacy | Where | Begins | Ends |
|---|---|---|---|
| GENOA HEALTHCARE LLC | PHOENIX, AZ | 1 October 2022 | no end date filed |
| MANTACHIE PHARMACY, LLC | MANTACHIE, MS | 1 October 2022 | no end date filed |
| OPTUM PHARMACY 701, LLC | FLINT, MI | 1 October 2023 | no end date filed |
| OPTUMRX | OVERLAND PARK, KS | 1 October 2023 | no end date filed |
| TRINITY'S PHARMACY | MANTACHIE, MS | 1 October 2023 | no end date filed |
| WAL-MART PHARMACY 10-0273 | FULTON, MS | 1 October 2022 | no end date filed |
| WALMART PHARMACY 10-5169 | ROGERS, AR | 1 October 2023 | no end date filed |
| Walmart Pharmacy 10-7611 | Plainfield, IN | 1 January 2024 | no end date filed |
| SALTILLO PHARMACY AND SOLUTIONS | SALTILLO, MS | 1 October 2022 | 5 March 2024 |
| SONSHINE PHARMACY OF MANTACHIE | MANTACHIE, MS | 1 October 2022 | 25 September 2023 |
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.