Pharmacy Details

PENNSYLVANIA CVS PHARMACY, L.L.C. - information as of 6/6/2025 12:52:04 PM

Name
PENNSYLVANIA CVS PHARMACY, L.L.C.

Address

DBA: CVS/PHARMACY # 07684
1535 WEST 26TH STREET
ERIE, PA 16508

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	DSH390198	MILLCREEK COMMUNITY HOSPITAL		Disproportionate Share Hospital	5515 Peach Street		ERIE	PA	01/01/2021		1/1/2021 12:01 AM
Details	HV16214	Pennsylvania Western University	PA Thrive Partnership - Clarion	Ryan White Part C	1008 S. 5th Ave.	Suite 201	Clarion	PA	04/01/2021	06/29/2022	7/5/2022 8:27 AM
Details	RWII16214	Pennsylvania Western University	PA Thrive Partnership	Ryan White Part B	867 E Main St	Suite 209	Clarion	PA	04/01/2021	04/01/2022	10/25/2023 8:58 PM

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 # 07684 1535 WEST 26TH STREET ERIE, PA 16508	3/28/2013 4:04 PM
Details	Name	Insert			PENNSYLVANIA CVS PHARMACY, L.L.C.	3/28/2013 4:04 PM