340B Drug Pricing Program Database


PENNSYLVANIA CVS PHARMACY, L.L.C. - information as of 4/25/2025 6:07:27 PM


PENNSYLVANIA CVS PHARMACY, L.L.C.

DBA: CVS/PHARMACY # 01193
835 OLD YORK ROAD
JENKINTOWN, PA 19046



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCHC26634-00PHILADELPHIA FIGHTPhiladelphia FIGHT Jonathan Lax Treatment CenterHRSA-Funded Health Center1233 Locust Street Floor 5, Suite 500 and Floor 4, Suite 400
PhiladelphiaPA04/01/2024 4/1/2024 12:01 AM
DetailsDSH160067MercyOne Waterloo Medical Center Disproportionate Share Hospital3421 W 9TH STREET
WATERLOOIA10/01/2020 10/1/2020 12:01 AM
DetailsDSH390027TEMPLE UNIVERSITY HOSPITAL Disproportionate Share Hospital3401 North Broad Street
PHILADELPHIAPA07/01/2023 7/1/2023 12:01 AM
DetailsDSH390080JEANES HOSPITAL Disproportionate Share Hospital7600 CENTRAL AVENUE
PHILADELPHIAPA04/01/201901/01/20201/16/2020 1:30 PM
DetailsDSH390097Holy Redeemer Hospital Disproportionate Share Hospital1648 Huntingdon Pike
MeadowbrookPA07/01/2023 7/1/2023 12:01 AM
DetailsDSH390142ALBERT EINSTEIN MEDICAL CENTER Disproportionate Share Hospital5501 OLD YORK ROAD
PHILADELPHIAPA01/30/2023 1/30/2023 3:06 PM
DetailsDSH390174THOMAS JEFFERSON UNIVERSITY HOSPITAL Disproportionate Share Hospital111 South 11th Street
PhiladelphiaPA07/01/2025 4/15/2025 7:59 PM
DetailsFQHCLA463Mazzoni CenterWashington WestHealth Center Program Look-Alike1201 Locust St.
PhiladelphiaPA10/01/2024 10/1/2024 12:01 AM
DetailsFQHCLA463AMazzoni CenterBainbridgeHealth Center Program Look-Alike1348 Bainbridge St
PhiladelphiaPA10/01/2024 10/1/2024 12:01 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressUpdate PENNSYLVANIA CVS PHARMACY, L.L.C. DBA: CVS/PHARMACY # 01193 616 OLD YORK ROAD JENKINTOWN, PA 19046PENNSYLVANIA CVS PHARMACY, L.L.C. DBA: CVS/PHARMACY # 01193 835 OLD YORK ROAD JENKINTOWN, PA 1904610/1/2013 9:33 AM
DetailsCommentsInsert   3/28/2013 4:05 PM
DetailsIs DeletedInsert  False3/28/2013 4:05 PM
AddressesPharmacy AddressInsert  PENNSYLVANIA CVS PHARMACY, L.L.C. DBA: CVS/PHARMACY # 01193 616 OLD YORK ROAD JENKINTOWN, PA 190463/28/2013 4:05 PM
DetailsNameInsert  PENNSYLVANIA CVS PHARMACY, L.L.C.3/28/2013 4:05 PM