340B Drug Pricing Program Database
MISSISSIPPI CVS PHARMACY, L.L.C. - information as of 5/13/2025 11:12:44 PM
Export
Name
MISSISSIPPI CVS PHARMACY, L.L.C.
Address
DBA CVS/PHARMACY # 8273
750 CITY AVE SOUTH
RIPLEY, MS 38663
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
CAH251302-00
BOA VIDA HOSPITAL OF ABERDEEN, MS, LLC, D/B/A MONROE REGIONAL HOSPITAL
Critical Access Hospital
400 SOUTH CHESTNUT ST
ABERDEEN
MS
07/01/2023
7/1/2023 12:01 AM
Details
CAH251308-00
PONTOTOC HEALTH SERVICES
PONTOTOC HEALTH SERVICES
Critical Access Hospital
176 SOUTH MAIN
PONTOTOC
MS
11/04/2021
11/4/2021 1:04 PM
Details
CAH251337-00
TIPPAH COUNTY HOSPITAL
Critical Access Hospital
1005 City Ave N
RIPLEY
MS
07/19/2022
07/31/2023
8/21/2023 3:05 PM
Details
CH049100
NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.
Benton Medical Center
HRSA-Funded Health Center
15921 Boundary Dr
Ashland
MS
01/01/2024
1/1/2024 12:01 AM
Details
DSH250004
NORTH MISSISSIPPI MEDICAL CENTER
Disproportionate Share Hospital
830 SOUTH GLOSTER ST
TUPELO
MS
10/01/2021
10/1/2021 12:01 AM
Details
DSH250006
BAPTIST MEMORIAL HOSPITAL - UNION COUNTY
Disproportionate Share Hospital
200 STATE HIGHWAY 30 W
NEW ALBANY
MS
10/01/2013
07/15/2016
7/18/2016 9:16 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 # 8273 750 CITY AVE SOUTH RIPLEY, MS 38663
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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