340B Drug Pricing Program Database


WASHINGTON CVS PHARMACY, L.L.C. - information as of 5/9/2025 12:41:48 AM


WASHINGTON CVS PHARMACY, L.L.C.

CVS PHARMACY # 16694
665 SLEATER KINNEY RD SE
LACEY, WA 98503



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCAH261340-00Mosaic Medical Center Maryville Critical Access Hospital2016 S. Main
MaryvilleMO04/01/2025 4/1/2025 12:01 AM
DetailsCH101020Sea Mar Community Health CentersSea Mar CHC - AdministrationHRSA-Funded Health Center1040 S. Henderson St.
SeattleWA01/01/2022 1/1/2022 12:01 AM
DetailsDSH500019PROVIDENCE HEALTH AND SERVICES - WASHINGTON PROVIDENCE CENTRALIA Disproportionate Share Hospital914 SOUTH SCHEUBER ROAD
CENTRALIAWA01/01/2021 1/1/2021 12:01 AM
DetailsDSH500079GOOD SAMARITAN HOSPITAL Disproportionate Share Hospital401 15th Avenue SE
PUYALLUPWA07/01/2022 7/1/2022 12:01 AM
DetailsDSH500139CAPITAL MEDICAL CENTER Disproportionate Share Hospital3900 CAPITAL MALL DRIVE SW
OLYMPIAWA07/01/2022 7/1/2022 12:01 AM
DetailsRRC500024-00PROVIDENCE ST. PETER HOSPITAL Rural Referral Center413 LILLY ROAD NE
OLYMPIAWA01/01/2021 1/1/2021 12:01 AM
DetailsSCH260050-00Mosaic Medical Center Maryville Sole Community Hospital2016 S. Main
MaryvilleMO10/01/202104/01/20254/1/2025 12:01 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressUpdate WASHINGTON CVS PHARMACY, L.L.C. TARGET PHARMACY # 16694 665 SLEATER KINNEY RD SE LACEY, WA 98503WASHINGTON CVS PHARMACY, L.L.C. CVS PHARMACY # 16694 665 SLEATER KINNEY RD SE LACEY, WA 985035/4/2016 9:32 AM
DetailsCommentsInsert   4/13/2016 4:52 PM
DetailsIs DeletedInsert  False4/13/2016 4:52 PM
AddressesPharmacy AddressInsert  WASHINGTON CVS PHARMACY, L.L.C. TARGET PHARMACY # 16694 665 SLEATER KINNEY RD SE LACEY, WA 985034/13/2016 4:52 PM
DetailsNameInsert  WASHINGTON CVS PHARMACY, L.L.C.4/13/2016 4:52 PM