Pharmacy Details

PENNSYLVANIA CVS PHARMACY, L.L.C. - information as of 4/25/2025 6:57:08 PM

Name
PENNSYLVANIA CVS PHARMACY, L.L.C.

Address

DBA: CVS/PHARMACY # 05720
110 SOUTH PLEASANT AVENUE
SOMERSET, PA 15501

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	DSH390164	UPMC - PRESBYTERIAN SHADYSIDE		Disproportionate Share Hospital	200 LOTHROP STREET		PITTSBURGH	PA	01/01/2024		1/1/2024 12:01 AM
Details	DSH390184	Highlands Hospital		Disproportionate Share Hospital	401 East Murphy Ave.		Connellsville	PA	01/01/2021		1/1/2021 12:01 AM
Details	DSH510001	WEST VIRGINIA UNIVERSITY HOSPITALS, INC.		Disproportionate Share Hospital	1 MEDICAL CENTER DRIVE		MORGANTOWN	WV	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 4:04 PM
Details	Is Deleted	Insert			False	3/28/2013 4:04 PM
Addresses	Pharmacy Address	Insert			PENNSYLVANIA CVS PHARMACY, L.L.C. DBA: CVS/PHARMACY # 05720 110 SOUTH PLEASANT AVENUE SOMERSET, PA 15501	3/28/2013 4:04 PM
Details	Name	Insert			PENNSYLVANIA CVS PHARMACY, L.L.C.	3/28/2013 4:04 PM