340B Drug Pricing Program Database
PENNSYLVANIA CVS PHARMACY, L.L.C. - information as of 4/25/2025 6:44:30 PM
Export
Name
PENNSYLVANIA CVS PHARMACY, L.L.C.
Address
DBA: CVS/PHARMACY # 01593
110 GREEN RIDGE STREET
SCRANTON, PA 18509
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
Details
STD18657
WYOMING VALLEY AIDS COUNCIL, INC.
Sexually Transmitted Diseases
1 Kim Ave
3
Tunkhannock
PA
07/01/2022
7/1/2022 12:01 AM
Details
STD18702
WYOMING VALLEY AIDS COUNCIL, INC.
Sexually Transmitted Diseases
330 BOWMAN STREET
UNIT 1
WILKES-BARRE
PA
07/01/2022
7/1/2022 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 # 01593 110 GREEN RIDGE STREET SCRANTON, PA 18509
3/28/2013 4:04 PM
Details
Name
Insert
PENNSYLVANIA CVS PHARMACY, L.L.C.
3/28/2013 4:04 PM
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session