340B Drug Pricing Program Database


PENNSYLVANIA CVS PHARMACY, L.L.C. - information as of 5/2/2025 10:43:43 PM


PENNSYLVANIA CVS PHARMACY, L.L.C.

CVS PHARMACY # 17475
7400 BUSTLETON AVE
PHILADELPHIA, PA 19152



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsDSH390027TEMPLE UNIVERSITY HOSPITAL Disproportionate Share Hospital3401 North Broad Street
PHILADELPHIAPA07/01/2023 7/1/2023 12:01 AM
DetailsDSH390080JEANES HOSPITAL Disproportionate Share Hospital7600 CENTRAL AVENUE
PHILADELPHIAPA04/01/201901/01/20201/16/2020 1:30 PM
DetailsDSH390097Holy Redeemer Hospital Disproportionate Share Hospital1648 Huntingdon Pike
MeadowbrookPA07/01/2023 7/1/2023 12:01 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressUpdate PENNSYLVANIA CVS PHARMACY, L.L.C. TARGET PHARMACY # 17475 7400 BUSTLETON AVE PHILADELPHIA, PA 19152PENNSYLVANIA CVS PHARMACY, L.L.C. CVS PHARMACY # 17475 7400 BUSTLETON AVE PHILADELPHIA, PA 191526/29/2016 12:32 PM
DetailsCommentsInsert   2/5/2016 2:36 PM
DetailsIs DeletedInsert  False2/5/2016 2:36 PM
AddressesPharmacy AddressInsert  PENNSYLVANIA CVS PHARMACY, L.L.C. TARGET PHARMACY # 17475 7400 BUSTLETON AVE PHILADELPHIA, PA 191522/5/2016 2:36 PM
DetailsNameInsert  PENNSYLVANIA CVS PHARMACY, L.L.C.2/5/2016 2:36 PM