340B Drug Pricing Program Database

Pharmacy Name

MISSISSIPPI CVS PHARMACY, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 05604
5025 HWY 305
OLIVE BRANCH, MS 38654

Pharmacy Comments

Approval Date

10/16/2023

Contract Begin Date

1/1/2024

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Steve Jenkins, Chief Executive Officer
(865) 556-5217

Contract Pharmacy Representative

CVSHEALTH
ADAM J HORN, ACCOUNT MGR
(773) 610-9315

Signed By Date

10/16/2023