Pharmacy Details

PENNSYLVANIA CVS PHARMACY, L.L.C. - information as of 4/24/2025 10:22:57 PM

Name
PENNSYLVANIA CVS PHARMACY, L.L.C.

Address

DBA: CVS/PHARMACY # 04234
5801 W. TILGHMAN ST.
ALLENTOWN, PA 18104

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	DSH390133	LEHIGH VALLEY		Disproportionate Share Hospital	1200 South Cedar Crest Boulevard		ALLENTOWN	PA	01/01/2023		1/1/2023 12:01 AM
Details	FQHCLA431	VALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER	Family Health Center	Health Center Program Look-Alike	400 N 17th St	STE 300	Allentown	PA	12/22/2022		12/22/2022 3:52 PM
Details	HV032130	LEHIGH VALLEY HOSPITAL		Ryan White Part C	1627 Chew Street, Third Floor		Allentown	PA	04/01/2021		4/1/2021 12:01 AM
Details	RRC390133-00	LEHIGH VALLEY HOSPITAL		Rural Referral Center	1200 South Cedar Crest Boulevard		Allentown	PA	10/01/2020	01/01/2023	1/1/2023 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Update		PENNSYLVANIA CVS PHARMACY, L.L.C. DBA: CVS/PHARMACY # 04234 5829 TILGHMAN ST. ALLENTOWN, PA 18104	PENNSYLVANIA CVS PHARMACY, L.L.C. DBA: CVS/PHARMACY # 04234 5801 W. TILGHMAN ST. ALLENTOWN, PA 18104	4/1/2014 11:14 AM
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 # 04234 5829 TILGHMAN ST. ALLENTOWN, PA 18104	3/28/2013 4:04 PM
Details	Name	Insert			PENNSYLVANIA CVS PHARMACY, L.L.C.	3/28/2013 4:04 PM