340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MISSISSIPPI CVS PHARMACY, L.L.C.
DSH250006 BAPTIST MEMORIAL HOSPITAL - UNION COUNTY
Print
Covered Entity Details
Entity Name
BAPTIST MEMORIAL HOSPITAL - UNION COUNTY
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH250006
Entity Address
200 STATE HIGHWAY 30 W
NEW ALBANY, MS 38652-3112
Medicare Provider Number
250006
Participating Start Date
9/4/2008
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
MISSISSIPPI CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 07065
135 HIGHWAY15, NORTH
PONTOTOC, MS 38863
Pharmacy Comments
Contract Details
Approval Date
7/26/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kimberly Young, Vice President-Finance Operations
(901) 227-4080
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/26/2023
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