340B Drug Pricing Program Database


PENNSYLVANIA CVS PHARMACY, L.L.C. - information as of 4/30/2025 12:09:07 AM


PENNSYLVANIA CVS PHARMACY, L.L.C.

CVS/PHARMACY # 11170
1201 WALNUT ST
PHILADELPHIA, PA 19107



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCH031670PUBLIC HEALTH MANAGEMENT CORPORATIONPublic Health Management CorporationHRSA-Funded Health CenterCentre Square East 1500 Market Street
PhiladelphiaPA01/01/2022 1/1/2022 12:01 AM
DetailsCHC26634-00PHILADELPHIA FIGHTPhiladelphia FIGHT Jonathan Lax Treatment CenterHRSA-Funded Health Center1233 Locust Street Floor 5, Suite 500 and Floor 4, Suite 400
PhiladelphiaPA04/01/2024 4/1/2024 12:01 AM
DetailsDSH390174THOMAS JEFFERSON UNIVERSITY HOSPITAL Disproportionate Share Hospital111 South 11th Street
PhiladelphiaPA07/01/2024 7/1/2024 12:01 AM
DetailsFQHCLA463Mazzoni CenterWashington WestHealth Center Program Look-Alike1201 Locust St.
PhiladelphiaPA10/01/2024 10/1/2024 12:01 AM
DetailsFQHCLA463AMazzoni CenterBainbridgeHealth Center Program Look-Alike1348 Bainbridge St
PhiladelphiaPA10/01/2024 10/1/2024 12:01 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsCommentsInsert   8/31/2020 4:21 PM
DetailsIs DeletedInsert  False8/31/2020 4:21 PM
AddressesPharmacy AddressInsert  PENNSYLVANIA CVS PHARMACY, L.L.C. CVS/PHARMACY # 11170 1201 WALNUT ST PHILADELPHIA, PA 191078/31/2020 4:21 PM
DetailsNameInsert  PENNSYLVANIA CVS PHARMACY, L.L.C.8/31/2020 4:21 PM