340B Drug Pricing Program Database
MISSISSIPPI CVS PHARMACY, L.L.C. - information as of 5/20/2025 1:58:43 AM
Export
Name
MISSISSIPPI CVS PHARMACY, L.L.C.
Address
DBA: CVS/PHARMACY # 08954
7363 GOODMAN RD.
OLIVE BRANCH, MS 38654
Comments
Contracts
History
Contracts
Contract Detail
340B ID
Entity Name
Sub Name
Entity Type
Address
Address Cont.
City
State
Begin Date
Term Date
Edit Date
Details
CH0417140
Christ Community Health Services, Inc.
THIRD STREET HEALTH CENTER
HRSA-Funded Health Center
3362 S 3rd St
MEMPHIS
TN
07/01/2021
11/07/2023
11/7/2023 12:01 AM
Details
DSH250141
BAPTIST MEMORIAL HOSPITAL- DESOTO
Disproportionate Share Hospital
7601 SOUTHCREST PARKWAY
SOUTHAVEN
MS
10/01/2013
08/01/2015
4/26/2016 4:28 PM
Details
DSH250167
METHODIST H/C OLIVE BRANCH HOSPT
Disproportionate Share Hospital
4250 BETHEL ROAD
OLIVE BRANCH
MS
04/01/2020
11/07/2023
1/11/2024 4:04 PM
Details
DSH440049
METHODIST HEALTHCARE - MEMPHIS HOSPITALS
Disproportionate Share Hospital
1265 Union Ave
Memphis
TN
01/01/2016
11/07/2023
1/11/2024 4:07 PM
Details
DSH440152
Regional One Health
Disproportionate Share Hospital
877 JEFFERSON AVENUE
MEMPHIS
TN
04/01/2020
4/1/2020 12:05 AM
Details
RWII37404A
Positively Living Inc.
Ryan White Part B
1331 Union Ave
1240
Memphis
TN
04/01/2021
10/30/2023
1/15/2024 11:02 AM
Details
RWII37404B
Positively Living Inc.
Ryan White Part B
1331 Union Ave
750H
Memphis
TN
04/01/2021
4/1/2021 12:01 AM
Details
RWII37917
Positively Living, Inc.
Ryan White Part B
1925 Ailor Ave
Knoxville
TN
01/01/2020
04/15/2021
4/15/2021 5:27 PM
Details
RWII37917
Positively Living, Inc.
Ryan White Part B
1925 Ailor Ave
Knoxville
TN
07/01/2021
10/30/2023
1/15/2024 11:02 AM
History
Section
Field
Action
Activity
Value Before
Value After
Timestamp
Details
Comments
Insert
3/28/2013 4:14 PM
Details
Is Deleted
Insert
False
3/28/2013 4:14 PM
Addresses
Pharmacy Address
Insert
MISSISSIPPI CVS PHARMACY, L.L.C. DBA: CVS/PHARMACY # 08954 7363 GOODMAN RD. OLIVE BRANCH, MS 38654
3/28/2013 4:14 PM
Details
Name
Insert
MISSISSIPPI CVS PHARMACY, L.L.C.
3/28/2013 4:14 PM
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