340B Drug Pricing Program Database


PENNSYLVANIA CVS PHARMACY, L.L.C. - information as of 4/25/2025 9:31:54 PM


PENNSYLVANIA CVS PHARMACY, L.L.C.

DBA: CVS/PHARMACY # 00740
10901C BUSTLETON AVENUE
PHILADELPHIA, PA 19116



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsDSH390027TEMPLE UNIVERSITY HOSPITAL Disproportionate Share Hospital3401 North Broad Street
PHILADELPHIAPA07/01/2023 7/1/2023 12:01 AM
DetailsDSH390097Holy Redeemer Hospital Disproportionate Share Hospital1648 Huntingdon Pike
MeadowbrookPA07/01/2023 7/1/2023 12:01 AM
DetailsDSH390115Jefferson Health Northeast Disproportionate Share Hospital10800 Knights Rd.
PHILADELPHIAPA04/01/2021 4/1/2021 12:01 AM
DetailsDSH390142ALBERT EINSTEIN MEDICAL CENTER Disproportionate Share Hospital5501 OLD YORK ROAD
PHILADELPHIAPA01/30/2023 1/30/2023 3:06 PM
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 # 00740 10901C BUSTLETON AVENUE PHILADELPHIA, PA 191163/28/2013 4:05 PM
DetailsNameInsert  PENNSYLVANIA CVS PHARMACY, L.L.C.3/28/2013 4:05 PM