Pharmacy Details

PENNSYLVANIA CVS PHARMACY, L.L.C. - information as of 4/25/2025 6:52:53 PM

Name
PENNSYLVANIA CVS PHARMACY, L.L.C.

Address

DBA CVS/PHARMACY #11356
3401 ARAMINGO AVENUE
PHILADELPHIA, PA 19134

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	CH031839C	Esperanza Health Center, Inc.	Esperanza Health Center	HRSA-Funded Health Center	4417 N 6th St		Philadelphia	PA	03/30/2023		3/30/2023 10:52 AM
Details	DSH390174	THOMAS JEFFERSON UNIVERSITY HOSPITAL		Disproportionate Share Hospital	111 South 11th Street		Philadelphia	PA	04/01/2025		4/1/2025 12:01 AM
Details	FQHCLA463	Mazzoni Center	Washington West	Health Center Program Look-Alike	1201 Locust St.		Philadelphia	PA	10/01/2024		10/1/2024 12:01 AM
Details	FQHCLA463A	Mazzoni Center	Bainbridge	Health Center Program Look-Alike	1348 Bainbridge St		Philadelphia	PA	10/01/2024		10/1/2024 12:01 AM
Details	STD19143	Courage Medicine Health Center Inc		Sexually Transmitted Diseases	3045 Kensington Avenue		Philadelphia	PA	04/01/2025		4/1/2025 12:01 AM
Details	STD191491	Courage Medicine Health Center, Inc		Sexually Transmitted Diseases	7198 Castor Ave	200	Philadelphia	PA	04/01/2025	04/10/2025	4/10/2025 10:00 AM
Details	STD191491	Courage Medicine Health Center, Inc		Sexually Transmitted Diseases	7198 Castor Ave	200	Philadelphia	PA	07/01/2025		4/10/2025 10:19 AM
Details	STD19153	Courage Medicine Health Center, Inc		Sexually Transmitted Diseases	3751 Island Ave	201	Philadelphia	PA	04/01/2025	04/10/2025	4/10/2025 10:32 AM
Details	STD19153	Courage Medicine Health Center, Inc		Sexually Transmitted Diseases	3751 Island Ave	201	Philadelphia	PA	07/01/2025		4/10/2025 10:48 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Comments	Insert				2/17/2023 12:03 PM
Details	Is Deleted	Insert			False	2/17/2023 12:03 PM
Addresses	Pharmacy Address	Insert			PENNSYLVANIA CVS PHARMACY, L.L.C. DBA CVS/PHARMACY #11356 3401 ARAMINGO AVENUE PHILADELPHIA, PA 19134	2/17/2023 12:03 PM
Details	Name	Insert			PENNSYLVANIA CVS PHARMACY, L.L.C.	2/17/2023 12:03 PM