Pharmacy Details

PENNSYLVANIA CVS PHARMACY, L.L.C. - information as of 5/16/2025 1:11:01 AM

Name
PENNSYLVANIA CVS PHARMACY, L.L.C.

Address

DBA: CVS/PHARMACY # 05097
110 EAST CENTRAL AVENUE
TITUSVILLE, PA 16354

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	CAH391314-00	TITUSVILLE AREA HOSPITAL		Critical Access Hospital	406 WEST OAK STREET		TITUSVILLE	PA	10/01/2019		10/1/2019 12:05 AM
Details	CH03406A	PRIMARY HEALTH NETWORK, INC.	FARRELL HEALTH CENTER	HRSA-Funded Health Center	602 Roemer Blvd		Farrell	PA	07/01/2017	04/01/2019	4/1/2019 12:05 AM
Details	CH03406B	PRIMARY HEALTH NETWORK, INC.	SHARON MEDICAL GROUP	HRSA-Funded Health Center	63 Pitt St		Sharon	PA	04/01/2019		4/1/2019 12:05 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 # 05097 110 EAST CENTRAL AVENUE TITUSVILLE, PA 16354	3/28/2013 4:04 PM
Details	Name	Insert			PENNSYLVANIA CVS PHARMACY, L.L.C.	3/28/2013 4:04 PM