340B Drug Pricing Program Database


MISSISSIPPI CVS PHARMACY, L.L.C. - information as of 5/20/2025 1:58:43 AM


MISSISSIPPI CVS PHARMACY, L.L.C.

DBA: CVS/PHARMACY # 08954
7363 GOODMAN RD.
OLIVE BRANCH, MS 38654



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCH0417140Christ Community Health Services, Inc.THIRD STREET HEALTH CENTERHRSA-Funded Health Center3362 S 3rd St
MEMPHISTN07/01/202111/07/202311/7/2023 12:01 AM
DetailsDSH250141BAPTIST MEMORIAL HOSPITAL- DESOTO Disproportionate Share Hospital7601 SOUTHCREST PARKWAY
SOUTHAVENMS10/01/201308/01/20154/26/2016 4:28 PM
DetailsDSH250167METHODIST H/C OLIVE BRANCH HOSPT Disproportionate Share Hospital4250 BETHEL ROAD
OLIVE BRANCHMS04/01/202011/07/20231/11/2024 4:04 PM
DetailsDSH440049METHODIST HEALTHCARE - MEMPHIS HOSPITALS Disproportionate Share Hospital1265 Union Ave
MemphisTN01/01/201611/07/20231/11/2024 4:07 PM
DetailsDSH440152Regional One Health Disproportionate Share Hospital877 JEFFERSON AVENUE
MEMPHISTN04/01/2020 4/1/2020 12:05 AM
DetailsRWII37404APositively Living Inc. Ryan White Part B1331 Union Ave
1240
MemphisTN04/01/202110/30/20231/15/2024 11:02 AM
DetailsRWII37404BPositively Living Inc. Ryan White Part B1331 Union Ave
750H
MemphisTN04/01/2021 4/1/2021 12:01 AM
DetailsRWII37917Positively Living, Inc. Ryan White Part B1925 Ailor Ave
KnoxvilleTN01/01/202004/15/20214/15/2021 5:27 PM
DetailsRWII37917Positively Living, Inc. Ryan White Part B1925 Ailor Ave
KnoxvilleTN07/01/202110/30/20231/15/2024 11:02 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsCommentsInsert   3/28/2013 4:14 PM
DetailsIs DeletedInsert  False3/28/2013 4:14 PM
AddressesPharmacy AddressInsert  MISSISSIPPI CVS PHARMACY, L.L.C. DBA: CVS/PHARMACY # 08954 7363 GOODMAN RD. OLIVE BRANCH, MS 386543/28/2013 4:14 PM
DetailsNameInsert  MISSISSIPPI CVS PHARMACY, L.L.C.3/28/2013 4:14 PM