340B Drug Pricing Program Database
PENNSYLVANIA CVS PHARMACY, L.L.C. - information as of 6/20/2025 12:01:49 AM
Export
Name
PENNSYLVANIA CVS PHARMACY, L.L.C.
Address
DBA: CVS/PHARMACY # 02156
5843-45 RISING SUN AVENUE
PHILADELPHIA, PA 19120
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
CH031670
PUBLIC HEALTH MANAGEMENT CORPORATION
Public Health Management Corporation
HRSA-Funded Health Center
Centre Square East
1500 Market Street
Philadelphia
PA
10/01/2019
10/1/2019 12:05 AM
Details
CH031839C
Esperanza Health Center, Inc.
Esperanza Health Center
HRSA-Funded Health Center
4417 N 6th St
Philadelphia
PA
07/01/2022
11/07/2023
11/20/2023 4:59 PM
Details
DSH390027
TEMPLE UNIVERSITY HOSPITAL
Disproportionate Share Hospital
3401 North Broad Street
PHILADELPHIA
PA
07/01/2023
01/14/2024
1/14/2024 11:22 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
11/07/2023
11/29/2023 2:15 PM
Details
DSH390142
ALBERT EINSTEIN MEDICAL CENTER
Disproportionate Share Hospital
5501 OLD YORK ROAD
PHILADELPHIA
PA
05/03/2021
11/07/2023
5/2/2024 12:40 PM
Details
DSH390174
THOMAS JEFFERSON UNIVERSITY HOSPITAL
Disproportionate Share Hospital
111 South 11th Street
Philadelphia
PA
01/01/2021
04/15/2024
4/15/2024 7:21 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 # 02156 5843-45 RISING SUN AVENUE PHILADELPHIA, PA 19120
3/28/2013 4:05 PM
Details
Name
Insert
PENNSYLVANIA CVS PHARMACY, L.L.C.
3/28/2013 4:05 PM
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session