Pharmacy Details

VIRGINIA CVS PHARMACY, L.L.C. - information as of 4/29/2025 1:49:47 AM

Name
VIRGINIA CVS PHARMACY, L.L.C.

Address

CVS PHARMACY # 17110
4310 FORTUNA CENTER PLZ
DUMFRIES, VA 22025

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	CHC12871-01	GREATER PRINCE WILLIAM COMMUNITY HEALTH CENTER, INC.	Evergreen Terrace	HRSA-Funded Health Center	9705 Liberia Ave		Manassas	VA	04/01/2025		4/1/2025 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Update		VIRGINIA CVS PHARMACY, L.L.C. TARGET PHARMACY # 17110 4310 FORTUNA CENTER PLZ DUMFRIES, VA 22025	VIRGINIA CVS PHARMACY, L.L.C. CVS PHARMACY # 17110 4310 FORTUNA CENTER PLZ DUMFRIES, VA 22025	3/15/2016 9:51 AM
Details	Comments	Insert				12/23/2015 4:52 PM
Details	Is Deleted	Insert			False	12/23/2015 4:52 PM
Addresses	Pharmacy Address	Insert			VIRGINIA CVS PHARMACY, L.L.C. TARGET PHARMACY # 17110 4310 FORTUNA CENTER PLZ DUMFRIES, VA 22025	12/23/2015 4:52 PM
Details	Name	Insert			VIRGINIA CVS PHARMACY, L.L.C.	12/23/2015 4:52 PM