340B Drug Pricing Program Database


PENNSYLVANIA CVS PHARMACY, L.L.C. - information as of 4/25/2025 12:18:28 AM


PENNSYLVANIA CVS PHARMACY, L.L.C.

DBA: CVS/PHARMACY # 04007
3925 WALNUT ST.
PHILADELPHIA, PA 19104



  • 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
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
DetailsPED243300-00GILLETTE CHILDREN'S SPECIALTY HEALTHCARE Children's Hospital200 UNIVERSITY AVENUE EAST
ST. PAULMN01/01/2022 1/1/2022 12:01 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
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 # 04007 3925 WALNUT ST. PHILADELPHIA, PA 191043/28/2013 4:05 PM
DetailsNameInsert  PENNSYLVANIA CVS PHARMACY, L.L.C.3/28/2013 4:05 PM