340B Drug Pricing Program Database


MISSISSIPPI CVS PHARMACY, L.L.C. - information as of 5/3/2025 11:49:31 PM


MISSISSIPPI CVS PHARMACY, L.L.C.

DBA: CVS/PHARMACY # 04536
301 AMERICAN AVENUE
BOONEVILLE, MS 38829



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCAH251302-00BOA VIDA HOSPITAL OF ABERDEEN, MS, LLC, D/B/A MONROE REGIONAL HOSPITAL Critical Access Hospital400 SOUTH CHESTNUT ST
ABERDEENMS07/01/2023 7/1/2023 12:01 AM
DetailsCH043920MANTACHIE RURAL HEALTH CARE INCMantachie Rural Health Care, Inc.HRSA-Funded Health Center5681 Highway 363
MantachieMS10/01/2020 10/1/2020 12:01 AM
DetailsCH04392BMANTACHIE RURAL HEALTH CARE INCMANTACHIE RURAL HEALTH CARE, INC. DENTALHRSA-Funded Health Center5500 Highway 363
MantachieMS10/01/2020 10/1/2020 12:01 AM
DetailsCH04392CMANTACHIE RURAL HEALTH CARE INCMantachie Rural Health Care Behavioral Health ClinicHRSA-Funded Health Center5510 Highway 363
MantachieMS10/01/2020 10/1/2020 12:01 AM
DetailsCH049100NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.Benton Medical CenterHRSA-Funded Health Center15921 Boundary Dr
AshlandMS01/01/2024 1/1/2024 12:01 AM
DetailsDSH250004NORTH MISSISSIPPI MEDICAL CENTER Disproportionate Share Hospital830 SOUTH GLOSTER ST
TUPELOMS10/01/2021 10/1/2021 12:01 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 # 04536 301 AMERICAN AVENUE BOONEVILLE, MS 388293/28/2013 4:14 PM
DetailsNameInsert  MISSISSIPPI CVS PHARMACY, L.L.C.3/28/2013 4:14 PM