340B Drug Pricing Program Database


CVS MANCHESTER NH, L.L.C. - information as of 5/29/2025 2:08:56 AM


CVS MANCHESTER NH, L.L.C.

DBA: CVS/PHARMACY # 00647
250 PLAINFIELD RD.
UPPER VALLEY PLAZA
WEST LEBANON, NH 03784



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCAH301304-00THE NEW LONDON HOSPITAL ASSOCIATION, INC Critical Access Hospital273 COUNTY ROAD
NEW LONDONNH10/01/2021 10/1/2021 12:01 AM
DetailsCAH301305-00ALICE PECK DAY MEMORIAL HOSPITAL Critical Access Hospital10 ALICE PECK DAY DRIVE
LEBANONNH10/01/2021 10/1/2021 12:01 AM
DetailsCAH301308-00VALLEY REGIONAL HOSPITAL Critical Access Hospital243 ELM STREET
CLAREMONTNH04/01/2024 4/1/2024 12:01 AM
DetailsCAH471302-00WINDSOR HOSPITAL CORPORATION D/B/A MT. ASCUTNEY HOSPITAL AND HEALTH CENTER Critical Access Hospital289 COUNTY ROAD
WINDSORVT10/01/2019 10/1/2019 12:05 AM
DetailsCHC00295-00HEALTHFIRST FAMILY CARE CENTER, Inc.HEALTH FIRST FAMILY CARE CENTERHRSA-Funded Health Center841 Central St
FranklinNH07/01/2024 7/1/2024 12:01 AM
DetailsDSH220011CAMBRIDGE PUBLIC HEALTH COMMISSION Disproportionate Share Hospital1493 Cambridge Street
CAMBRIDGEMA04/01/202008/31/202310/5/2023 4:07 PM
DetailsDSH300003MARY HITCHCOCK MEMORIAL HOSP Disproportionate Share HospitalOne Medical Center Drive
LEBANONNH07/01/2022 7/1/2022 12:01 AM
DetailsHV00812Mary Hitchcock Memorial Hospital dba Ryan White ProgramRyan White Part CRyan White Part COne Medical Center Drive
LebanonNH10/25/2022 10/25/2022 1:57 PM
DetailsHV00812AMary Hitchcock Memorial Hospital dba Ryan White ProgramDartmouth-Hitchcock Manchester, Ryan White Part CRyan White Part C100 Hitchcock Way
ManchesterNH10/25/202204/01/20234/1/2023 12:01 AM
DetailsHV00812BMary Hitchcock Memorial Hospital dba Ryan White ProgramBedford Clinic, Ryan White Part CRyan White Part C5 Washington Place
BedfordNH10/25/2022 10/25/2022 3:13 PM
DetailsHV00812CMary Hitchcock Memorial Hospital dba Ryan White ProgramDartmouth-Hitchcock Nashua, Ryan White Part CRyan White Part C2300 Southwood Drive
NashuaNH10/25/2022 10/25/2022 3:13 PM
DetailsHV00812DMary Hitchcock Memorial Hospital dba Ryan White ProgramRyan White Part CRyan White Part C580 Court Street
KeeneNH04/01/2023 4/1/2023 12:01 AM
DetailsRRC300003-00MARY HITCHCOCK MEMORIAL HOSPITAL Rural Referral CenterONE MEDICAL CENTER DRIVE
LEBANONNH04/01/201307/01/20227/1/2022 12:01 AM
DetailsRW431112Mary Hitchcock Memorial Hospital dba Ryan White ProgramDartmouth-Hitchcock Nashua, Ryan White Part DRyan White Part D2300 Southwood Drive
NashuaNH10/25/202210/01/202410/1/2024 12:01 AM
DetailsRW431112AMary Hitchcock Memorial Hospital dba Ryan White ProgramRyan White Part DRyan White Part DOne Medical Center Drive
LebanonNH10/25/202210/01/202410/1/2024 12:01 AM
DetailsRW431112BMary Hitchcock Memorial Hospital dba Ryan White ProgramDartmouth-Hitchcock Manchester, Ryan White Part DRyan White Part D100 Hitchcock Way
ManchesterNH10/25/202204/01/20234/1/2023 12:01 AM
DetailsRW431112CMary Hitchcock Memorial Hospital dba Ryan White ProgramBedford Clinic, Ryan White Part DRyan White Part D5 Washington Place
BedfordNH10/25/202210/01/202410/1/2024 12:01 AM
DetailsRW431112DMary Hitchcock Memorial Hospital dba Ryan White ProgramRyan White Part DRyan White Part D580 Court Street
KeeneNH04/01/202310/01/202410/1/2024 12:01 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressUpdate CVS MANCHESTER NH, L.L.C. DBA: CVS/PHARMACY # 00647 250 PLAINFIELD RD. WEST LEBANON, NH 03784CVS MANCHESTER NH, L.L.C. DBA: CVS/PHARMACY # 00647 250 PLAINFIELD RD. UPPER VALLEY PLAZA WEST LEBANON, NH 037843/28/2013 4:00 PM
DetailsCommentsUpdate   3/28/2013 4:00 PM
AddressesPharmacy AddressUpdate CVS/PHARMACY # 00647 250 PLAINFIELD RD. UPPER VALLEY PLAZA WEST LEBANON, NH 03784CVS MANCHESTER NH, L.L.C. DBA: CVS/PHARMACY # 00647 250 PLAINFIELD RD. WEST LEBANON, NH 037843/28/2013 4:00 PM
DetailsNameUpdate CVS/PHARMACY # 00647CVS MANCHESTER NH, L.L.C.3/28/2013 4:00 PM
AddressesPharmacy AddressUpdate CVS Store #647 250 Plainfield Road West Lebanon, NH 03784CVS/PHARMACY # 00647 250 PLAINFIELD RD. UPPER VALLEY PLAZA WEST LEBANON, NH 037842/20/2013 6:18 PM
DetailsNameUpdate CVS Store #647CVS/PHARMACY # 006472/20/2013 6:18 PM
DetailsCommentsInsert   1/15/2013 7:34 AM
DetailsIs DeletedInsert  False1/15/2013 7:34 AM
AddressesPharmacy AddressInsert  CVS Store #647 250 Plainfield Road West Lebanon, NH 037841/15/2013 7:34 AM
DetailsNameInsert  CVS Store #6471/15/2013 7:34 AM