340B Drug Pricing Program Database
KROGER PHARMACY #490 - information as of 6/3/2025 12:30:44 PM
Export
Name
KROGER PHARMACY #490
Address
6745 SIWELL ROAD
BYRAM, MS 39272
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
DSH250001
University of Mississippi Medical Center
Disproportionate Share Hospital
2500 NORTH STATE ST.
JACKSON
MS
01/01/2019
1/1/2019 12:05 AM
History
Section
Field
Action
Activity
Value Before
Value After
Timestamp
Addresses
Pharmacy Address
Insert
KROGER PHARMACY #490 6745 SIWELL ROAD BYRAM, MS 39272
9/29/2017 6:44 AM
Details
Comments
Insert
3/28/2013 4:14 PM
Details
Is Deleted
Insert
False
3/28/2013 4:14 PM
Addresses
Pharmacy Address
Insert
KROGER PHARMACY #490 6745 SIWELL ROAD BYRAM, MS 39272
3/28/2013 4:14 PM
Details
Name
Insert
KROGER PHARMACY #490
3/28/2013 4:14 PM
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