340B Drug Pricing Program Database
MISSISSIPPI CVS PHARMACY, L.L.C. - information as of 6/19/2025 11:59:04 PM
Export
Name
MISSISSIPPI CVS PHARMACY, L.L.C.
Address
DBA CVS/PHARMACY #10755
4422 KALANI DR.
DIAMONDHEAD, MS 39525
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
07/01/2015
6/2/2021 9:25 AM
Details
DSH250040
SINGING RIVER HEALTH SYSTEM
SINGING RIVER HOSPITAL
Disproportionate Share Hospital
2809 DENNY AVENUE
PASCAGOULA
MS
04/26/2022
07/01/2024
7/1/2024 12:01 AM
Details
DSH250123
SINGING RIVER GULFPORT
Disproportionate Share Hospital
15200 COMMUNITY ROAD
GULFPORT
MS
01/01/2024
04/01/2025
4/1/2025 12:01 AM
Details
DSH250162
OCHSNER MEDICAL CENTER - HANCOCK
Disproportionate Share Hospital
149 DRINKWATER BLVD
BAY ST. LOUIS
MS
10/01/2020
04/01/2024
4/1/2024 12:01 AM
Details
RRC250040-00
SINGING RIVER HEALTH SYSTEM
SINGING RIVER HOSPITAL
Rural Referral Center
2809 DENNY AVENUE
PASCAGOULA
MS
04/01/2021
03/15/2022
4/15/2022 5:59 PM
Details
RRC250040-00
SINGING RIVER HEALTH SYSTEM
SINGING RIVER HOSPITAL
Rural Referral Center
2809 DENNY AVENUE
PASCAGOULA
MS
07/01/2024
7/1/2024 12:01 AM
History
Section
Field
Action
Activity
Value Before
Value After
Timestamp
Details
Comments
Insert
3/16/2015 10:36 AM
Details
Is Deleted
Insert
False
3/16/2015 10:36 AM
Addresses
Pharmacy Address
Insert
MISSISSIPPI CVS PHARMACY, L.L.C. DBA CVS/PHARMACY #10755 4422 KALANI DR. DIAMONDHEAD, MS 39525
3/16/2015 10:36 AM
Details
Name
Insert
MISSISSIPPI CVS PHARMACY, L.L.C.
3/16/2015 10:36 AM
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