Pharmacy Details

PENNSYLVANIA CVS PHARMACY, L.L.C. - information as of 5/7/2025 11:10:47 PM

Name
PENNSYLVANIA CVS PHARMACY, L.L.C.

Address

DBA: CVS/PHARMACY # 00460
101 CHESTER AVENUE
YEADON, PA 19050

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	CH033930	CHESPENN HEALTH SERVICES	CHESPENN HEALTH SERVICES	HRSA-Funded Health Center	1510 Chester Pike, Suite 200		Eddystone	PA	07/01/2022		7/1/2022 12:01 AM
Details	CH034140	SPECTRUM HEALTH SERVICES, INC.	Spectrum Community Health Center	HRSA-Funded Health Center	5201 Haverford Avenue		Philadelphia	PA	07/01/2025		4/8/2025 3:02 PM
Details	CH03414A	SPECTRUM HEALTH SERVICES, INC.	BROAD STREET HEALTH CENTER	HRSA-Funded Health Center	1415 N Broad St STE 224		Philadelphia	PA	07/01/2025		4/9/2025 3:49 PM
Details	CH03414B	SPECTRUM HEALTH SERVICES, INC.	Reed Street Health Center	HRSA-Funded Health Center	1325 South 33rd Street	Suite 300	Philadelphia	PA	07/01/2025		4/9/2025 3:55 PM
Details	CH03414C	SPECTRUM HEALTH SERVICES	Cottman Avenue Health Center	HRSA-Funded Health Center	3525 Cottman Ave		Philadelphia	PA	07/01/2025		4/9/2025 3:49 PM
Details	DSH390156	MERCY CATHOLIC MEDICAL CENTER		Disproportionate Share Hospital	1500 LANSDOWNE AVE	ATTN: Pharmacy Director	DARBY	PA	07/01/2017	07/01/2017	9/26/2017 4:24 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Comments	Insert				3/28/2013 4:05 PM
Details	Is Deleted	Insert			False	3/28/2013 4:05 PM
Addresses	Pharmacy Address	Insert			PENNSYLVANIA CVS PHARMACY, L.L.C. DBA: CVS/PHARMACY # 00460 101 CHESTER AVENUE YEADON, PA 19050	3/28/2013 4:05 PM
Details	Name	Insert			PENNSYLVANIA CVS PHARMACY, L.L.C.	3/28/2013 4:05 PM