Pharmacy Details

WASHINGTON CVS PHARMACY, L.L.C. - information as of 5/24/2025 1:08:20 AM

Name
WASHINGTON CVS PHARMACY, L.L.C.

Address

CVS/PHARMACY # 10659
33520 21ST AVE. SW
FEDERAL WAY, WA 98023

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	CH101020	Sea Mar Community Health Centers	Sea Mar CHC - Administration	HRSA-Funded Health Center	1040 S. Henderson St.		Seattle	WA	01/01/2020		1/1/2020 12:05 AM
Details	DSH500079	GOOD SAMARITAN HOSPITAL		Disproportionate Share Hospital	401 15th Avenue SE		PUYALLUP	WA	07/01/2022		7/1/2022 12:01 AM
Details	DSH500088	PUBLIC HOSPITAL DISTRICT NO 1 OF KING COUNTY DBA VALLEY MEDICAL CENTER		Disproportionate Share Hospital	400 S 43RD STREET		RENTON	WA	04/01/2019	02/07/2025	2/16/2025 12:43 AM
Details	DSH500139	CAPITAL MEDICAL CENTER		Disproportionate Share Hospital	3900 CAPITAL MALL DRIVE SW		OLYMPIA	WA	07/01/2022		7/1/2022 12:01 AM
Details	PED503301-00	Mary Bridge Children's Hospital and Health Center		Children's Hospital	317 Martin Luther King Jr Way		Tacoma	WA	01/01/2021		1/1/2021 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Comments	Insert				2/7/2017 2:49 PM
Details	Is Deleted	Insert			False	2/7/2017 2:49 PM
Addresses	Pharmacy Address	Insert			WASHINGTON CVS PHARMACY, L.L.C. CVS/PHARMACY # 10659 33520 21ST AVE. SW FEDERAL WAY, WA 98023	2/7/2017 2:49 PM
Details	Name	Insert			WASHINGTON CVS PHARMACY, L.L.C.	2/7/2017 2:49 PM