340B Drug Pricing Program Database
PENNSYLVANIA CVS PHARMACY, L.L.C. - information as of 4/25/2025 12:05:29 AM
Export
Name
PENNSYLVANIA CVS PHARMACY, L.L.C.
Address
DBA: CVS/PHARMACY # 01611
1101 MOOSIC ST.
SCRANTON, PA 18505
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
DSH390001
COMMUNITY MEDICAL CENTER
Disproportionate Share Hospital
1800 MULBERRY STREET
SCRANTON
PA
04/01/2022
01/01/2024
1/1/2024 12:01 AM
Details
RRC390001-00
COMMUNITY MEDICAL CENTER
Rural Referral Center
1800 MULBERRY STREET
SCRANTON
PA
10/01/2021
04/01/2022
4/1/2022 12:01 AM
Details
RRC390001-00
COMMUNITY MEDICAL CENTER
Rural Referral Center
1800 MULBERRY STREET
SCRANTON
PA
01/01/2024
1/1/2024 12:01 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 # 01611 1101 MOOSIC ST. SCRANTON, PA 18505
3/28/2013 4:04 PM
Details
Name
Insert
PENNSYLVANIA CVS PHARMACY, L.L.C.
3/28/2013 4:04 PM
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