340B Drug Pricing Program Database
PENNSYLVANIA CVS PHARMACY, L.L.C. - information as of 4/23/2025 11:53:42 PM
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Name
PENNSYLVANIA CVS PHARMACY, L.L.C.
Address
CVS/PHARMACY #11422
177 ERIE BLVD
SUSQUEHANNA, PA 18847-2791
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
CAH391309-00
Barnes Kasson County Hospital
Critical Access Hospital
2872 Turnpike Street
Susquehanna
PA
03/20/2020
11/14/2024
1/6/2025 10:31 AM
Details
CH03048E
B-K Health Center, Inc.
NEPA Community Health Care-Hallstead
HRSA-Funded Health Center
25066 State Route 11
Hallstead
PA
10/01/2020
11/04/2024
1/3/2025 11:22 AM
Details
CH03048G
B-K Health Center, Inc.
Matthew W. Stahl Memorial Health Center
HRSA-Funded Health Center
498 S Main St, Ste D
Montrose
PA
10/01/2020
11/04/2024
12/4/2024 2:11 PM
Details
RRC330011-00
OUR LADY OF LOURDES MEMORIAL HOSP
Rural Referral Center
169 RIVERSIDE DRIVE
BINGHAMTON
NY
07/21/2022
12/01/2023
12/4/2023 9:00 AM
Details
RRC330011-00
OUR LADY OF LOURDES MEMORIAL HOSP
Rural Referral Center
169 RIVERSIDE DRIVE
BINGHAMTON
NY
07/01/2024
7/1/2024 12:01 AM
History
Section
Field
Action
Activity
Value Before
Value After
Timestamp
Details
Comments
Insert
2/14/2020 3:55 PM
Details
Is Deleted
Insert
False
2/14/2020 3:55 PM
Addresses
Pharmacy Address
Insert
PENNSYLVANIA CVS PHARMACY, L.L.C. CVS/PHARMACY #11422 177 ERIE BLVD SUSQUEHANNA, PA 18847-2791
2/14/2020 3:55 PM
Details
Name
Insert
PENNSYLVANIA CVS PHARMACY, L.L.C.
2/14/2020 3:55 PM
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