Pharmacy Details

JACKSONS DISCOUNT PHARMACY - information as of 4/30/2025 11:11:03 PM

Name
JACKSONS DISCOUNT PHARMACY

Address

11340 THREE RIVERS RD STE A
GULFPORT, MS 39503-3650

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	DSH250019	MEMORIAL HOSPITAL AT GULFPORT		Disproportionate Share Hospital	4500 Thirteenth Street		GULFPORT	MS	04/30/2012		6/2/2021 9:25 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			JACKSONS DISCOUNT PHARMACY 11340 THREE RIVERS RD STE A GULFPORT, MS 39503-3650	12/2/2020 12:45 PM
Addresses	Pharmacy Address	Insert			JACKSONS DISCOUNT PHARMACY 11340 A THREE RIVERS ROAD GULFPORT, MS 39503	9/29/2017 6:44 AM
Addresses	Pharmacy Address	Update		Jackson's Discount Pharmacy 11340 Three Rivers Road #A Gulfport, MS 39503	JACKSONS DISCOUNT PHARMACY 11340 A THREE RIVERS ROAD GULFPORT, MS 39503	3/28/2013 4:14 PM
Details	Name	Update		Jackson's Discount Pharmacy	JACKSONS DISCOUNT PHARMACY	3/28/2013 4:14 PM
Details	Comments	Insert				4/11/2012 7:09 PM
Details	Is Deleted	Insert			False	4/11/2012 7:09 PM
Addresses	Pharmacy Address	Insert			Jackson's Discount Pharmacy 11340 Three Rivers Road #A Gulfport, MS 39503	4/11/2012 7:09 PM
Details	Name	Insert			Jackson's Discount Pharmacy	4/11/2012 7:09 PM