340B Drug Pricing Program Database
CVS STATE CAPITAL, L.L.C. - information as of 5/26/2025 1:05:32 AM
Export
Name
CVS STATE CAPITAL, L.L.C.
Address
DBA: CVS/PHARMACY # 07410
48 PORTLAND RD.
KENNEBUNK, ME 04043
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
DSH200008
MERCY HOSPITAL
Disproportionate Share Hospital
175 Fore River Parkway
PORTLAND
ME
04/01/2022
4/1/2022 12:01 AM
Details
DSH200009
MAINEHEALTH MAINE MEDICAL CENTER
Disproportionate Share Hospital
22 BRAMHALL STREET
PORTLAND
ME
07/01/2021
7/1/2021 12:01 AM
Details
RRC220110-00
BRIGHAM AND WOMENS HOSPITAL
Rural Referral Center
75 FRANCIS STREET
BOSTON
MA
01/01/2023
1/1/2023 12:01 AM
History
Section
Field
Action
Activity
Value Before
Value After
Timestamp
Details
Comments
Insert
3/28/2013 4:00 PM
Details
Is Deleted
Insert
False
3/28/2013 4:00 PM
Addresses
Pharmacy Address
Insert
CVS STATE CAPITAL, L.L.C. DBA: CVS/PHARMACY # 07410 48 PORTLAND RD. KENNEBUNK, ME 04043
3/28/2013 4:00 PM
Details
Name
Insert
CVS STATE CAPITAL, L.L.C.
3/28/2013 4:00 PM
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session