Pharmacy Details

PENNSYLVANIA CVS PHARMACY, L.L.C. - information as of 5/21/2025 12:26:29 AM

Name
PENNSYLVANIA CVS PHARMACY, L.L.C.

Address

DBA: CVS/PHARMACY # 00780
1301 RHAWN ST.
PHILADELPHIA, PA 19111

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	DSH390027	TEMPLE UNIVERSITY HOSPITAL		Disproportionate Share Hospital	3401 North Broad Street		PHILADELPHIA	PA	07/01/2023		7/1/2023 12:01 AM
Details	DSH390080	JEANES HOSPITAL		Disproportionate Share Hospital	7600 CENTRAL AVENUE		PHILADELPHIA	PA	04/01/2019	01/01/2020	1/16/2020 1:30 PM
Details	DSH390097	Holy Redeemer Hospital		Disproportionate Share Hospital	1648 Huntingdon Pike		Meadowbrook	PA	07/01/2023		7/1/2023 12:01 AM
Details	DSH390142	ALBERT EINSTEIN MEDICAL CENTER		Disproportionate Share Hospital	5501 OLD YORK ROAD		PHILADELPHIA	PA	01/30/2023		1/30/2023 3:06 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 # 00780 1301 RHAWN ST. PHILADELPHIA, PA 19111	3/28/2013 4:05 PM
Details	Name	Insert			PENNSYLVANIA CVS PHARMACY, L.L.C.	3/28/2013 4:05 PM