340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MISSISSIPPI CVS PHARMACY, L.L.C.
CH04608A CENTRAL MISSISSIPPI HEALTH SERVICES, INC.
Print
Covered Entity Details
Entity Name
CENTRAL MISSISSIPPI HEALTH SERVICES, INC.
Subdivision Name
CENTRAL MS HLTH SVS - TOUGALOO
Type
HRSA-Funded Health Center
340B ID
CH04608A
Entity Address
500 W COUNTY LINE RD
JACKSON, MS 39174-9700
Grant Number
H80CS00860
Participating Start Date
12/1/2005
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
MISSISSIPPI CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 05756
1420 CANTON MART RD.
JACKSON, MS 39211
Pharmacy Comments
Contract Details
Approval Date
4/1/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Robert Smith, MD
(601) 948-5572
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/1/2022
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session