340B Drug Pricing Program Database
MISSISSIPPI CVS PHARMACY, L.L.C. - information as of 6/6/2025 12:47:27 PM
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Name
MISSISSIPPI CVS PHARMACY, L.L.C.
Address
DBA: CVS/PHARMACY # 05846
822 HWY 35 N
FOREST, MS 39074
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
CAH251300-00
INDEPENDENT HEALTHCARE MANAGMENT, INC. D/B/A SE LACKEY MEMORIAL HOSPITAL
Critical Access Hospital
330 N. BROAD ST.
FOREST
MS
07/01/2014
2/12/2016 4:10 PM
Details
DSH250001
University of Mississippi Medical Center
Disproportionate Share Hospital
2500 NORTH STATE ST.
JACKSON
MS
07/21/2021
7/21/2021 4:24 PM
Details
DSH250069
RUSH FOUNDATION HOSPITAL
Disproportionate Share Hospital
1314 19TH AVENUE
MERIDIAN
MS
01/01/2014
01/19/2017
2/22/2018 11:25 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 # 05846 822 HWY 35 N FOREST, MS 39074
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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