340B Drug Pricing Program Database


PENNSYLVANIA CVS PHARMACY, L.L.C. - information as of 5/2/2025 10:51:43 PM


PENNSYLVANIA CVS PHARMACY, L.L.C.

DBA: CVS/PHARMACY # 01587
202 4TH STREET
HONESDALE, PA 18431



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCHC08760-00WAYNE MEMORIAL COMMUNITY HEALTH CENTERS HRSA-Funded Health Center600 Maple Ave
6 		HONESDALEPA04/01/2015 1/5/2015 1:16 PM
DetailsCHC08760-04WAYNE MEMORIAL COMMUNITY HEALTH CENTERSHONESDALE FAMILY HEALTH CENTERHRSA-Funded Health Center600 MAPLE AVE
2 		HONESDALEPA01/01/2024 1/1/2024 12:01 AM
DetailsDSH390001COMMUNITY MEDICAL CENTER Disproportionate Share Hospital1800 MULBERRY STREET
SCRANTONPA04/01/202201/01/20241/1/2024 12:01 AM
DetailsRRC330011-00OUR LADY OF LOURDES MEMORIAL HOSP Rural Referral Center169 RIVERSIDE DRIVE
BINGHAMTONNY07/21/202212/01/202312/4/2023 9:00 AM
DetailsRRC330011-00OUR LADY OF LOURDES MEMORIAL HOSP Rural Referral Center169 RIVERSIDE DRIVE
BINGHAMTONNY07/01/2024 7/1/2024 12:01 AM
DetailsRRC390001-00COMMUNITY MEDICAL CENTER Rural Referral Center1800 MULBERRY STREET
SCRANTONPA10/01/202104/01/20224/1/2022 12:01 AM
DetailsRRC390001-00COMMUNITY MEDICAL CENTER Rural Referral Center1800 MULBERRY STREET
SCRANTONPA01/01/2024 1/1/2024 12:01 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressUpdate PENNSYLVANIA CVS PHARMACY, L.L.C. DBA: CVS/PHARMACY # 01587 801 MAIN STREET HONESDALE, PA 18431PENNSYLVANIA CVS PHARMACY, L.L.C. DBA: CVS/PHARMACY # 01587 202 4TH STREET HONESDALE, PA 1843111/8/2013 10:45 AM
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 # 01587 801 MAIN STREET HONESDALE, PA 184313/28/2013 4:04 PM
DetailsNameInsert  PENNSYLVANIA CVS PHARMACY, L.L.C.3/28/2013 4:04 PM