340B Drug Pricing Program Database


PENNSYLVANIA CVS PHARMACY, L.L.C. - information as of 4/24/2025 12:57:56 AM


PENNSYLVANIA CVS PHARMACY, L.L.C.

CVS PHARMACY # 16932
11000 ROOSEVELT BLVD SUITE 3
PHILADELPHIA, PA 19116



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsDSH390097Holy Redeemer Hospital Disproportionate Share Hospital1648 Huntingdon Pike
MeadowbrookPA07/01/2023 7/1/2023 12:01 AM
DetailsDSH390115Jefferson Health Northeast Disproportionate Share Hospital10800 Knights Rd.
PHILADELPHIAPA04/01/2021 4/1/2021 12:01 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  PENNSYLVANIA CVS PHARMACY, L.L.C. CVS PHARMACY # 16932 11000 ROOSEVELT BLVD SUITE 3 PHILADELPHIA, PA 191168/20/2018 4:20 PM
AddressesPharmacy AddressUpdate PENNSYLVANIA CVS PHARMACY, L.L.C. TARGET PHARMACY # 16932 11000 ROOSEVELT BLVD STE 3 PHILADELPHIA, PA 19116PENNSYLVANIA CVS PHARMACY, L.L.C. CVS PHARMACY # 16932 11000 ROOSEVELT BLVD STE 3 PHILADELPHIA, PA 191166/29/2016 12:32 PM
DetailsCommentsInsert   3/15/2016 9:51 AM
DetailsIs DeletedInsert  False3/15/2016 9:51 AM
AddressesPharmacy AddressInsert  PENNSYLVANIA CVS PHARMACY, L.L.C. TARGET PHARMACY # 16932 11000 ROOSEVELT BLVD STE 3 PHILADELPHIA, PA 191163/15/2016 9:51 AM
DetailsNameInsert  PENNSYLVANIA CVS PHARMACY, L.L.C.3/15/2016 9:51 AM