340B Drug Pricing Program Database


PENNSYLVANIA CVS PHARMACY, L.L.C. - information as of 4/25/2025 6:44:09 PM


PENNSYLVANIA CVS PHARMACY, L.L.C.

DBA: CVS/PHARMACY # 01320
RT. 115 AND 209, HC2, BOX 1120
BRODHEADSVILLE, PA 18322



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsDSH390201POCONO MEDICAL CENTER Disproportionate Share Hospital206 EAST BROWN STREET
EAST STROUDSBURGPA10/01/202111/30/202111/30/2021 12:01 AM
DetailsHV032130LEHIGH VALLEY HOSPITAL Ryan White Part C1627 Chew Street, Third Floor
AllentownPA04/01/202003/31/20213/31/2021 12:01 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsCommentsInsert   3/28/2013 4:04 PM
DetailsIs DeletedInsert  False3/28/2013 4:04 PM
AddressesPharmacy AddressInsert  PENNSYLVANIA CVS PHARMACY, L.L.C. DBA: CVS/PHARMACY # 01320 RT. 115 AND 209, HC2, BOX 1120 BRODHEADSVILLE, PA 183223/28/2013 4:04 PM
DetailsNameInsert  PENNSYLVANIA CVS PHARMACY, L.L.C.3/28/2013 4:04 PM