340B Drug Pricing Program Database


CVS STATE CAPITAL, L.L.C. - information as of 5/6/2025 12:19:25 AM


CVS STATE CAPITAL, L.L.C.

DBA: CVS/PHARMACY # 00378
770 ROOSEVELT TRAIL, RTE 302
SHAWS PLZ
WINDHAM, ME 04062



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCAH201315-00MAINEHEALTH STEPHENS HOSPITAL Critical Access Hospital181 Main Street
NorwayME01/01/2022 1/1/2022 12:01 AM
DetailsCH013280D.F.D. RUSSELL MEDICAL CENTER, INC.DFD RUSSELL MEDICAL CENTER - LEEDSHRSA-Funded Health Center180 Church Hill Rd
LeedsME01/01/202311/01/202311/2/2023 11:46 AM
DetailsDSH200008MERCY HOSPITAL Disproportionate Share Hospital175 Fore River Parkway
PORTLANDME04/01/2022 4/1/2022 12:01 AM
DetailsDSH200009MAINEHEALTH MAINE MEDICAL CENTER Disproportionate Share Hospital22 BRAMHALL STREET
PORTLANDME10/01/2014 5/11/2017 2:44 PM
DetailsDSH200024CENTRAL MAINE MEDICAL CENTER Disproportionate Share Hospital300 MAIN STREET
LEWISTONME04/01/2022 4/1/2022 12:01 AM
DetailsDSH200034St. Mary's Regional Medical Center Disproportionate Share Hospital93 Campus Avenue
LewistonME01/01/2020 1/1/2020 12:05 AM
DetailsFQHCLA119Community Clinical Services, Inc.B Street Health CenterHealth Center Program Look-Alike57 Birch Street
LewistonME01/01/2020 1/1/2020 12:05 AM
DetailsRRC200024-00CENTRAL MAINE MEDICAL CENTER Rural Referral Center300 MAIN STREET
LEWISTONME04/01/202004/01/20224/1/2022 12:01 AM
DetailsSTD04101City of PortlandPortland Public Health DivisionSexually Transmitted Diseases389 Congress Street
PortlandME07/01/2021 7/1/2021 12:01 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressUpdate CVS STATE CAPITAL, L.L.C. DBA: CVS/PHARMACY # 00378 770 ROOSEVELT TRAIL, RTE 302 WINDHAM, ME 04062CVS STATE CAPITAL, L.L.C. DBA: CVS/PHARMACY # 00378 770 ROOSEVELT TRAIL, RTE 302 SHAWS PLZ WINDHAM, ME 040623/28/2013 4:00 PM
DetailsCommentsInsert   3/28/2013 4:00 PM
DetailsIs DeletedInsert  False3/28/2013 4:00 PM
AddressesPharmacy AddressInsert  CVS STATE CAPITAL, L.L.C. DBA: CVS/PHARMACY # 00378 770 ROOSEVELT TRAIL, RTE 302 WINDHAM, ME 040623/28/2013 4:00 PM
DetailsNameInsert  CVS STATE CAPITAL, L.L.C.3/28/2013 4:00 PM