340B Drug Pricing Program Database
PENNSYLVANIA CVS PHARMACY, L.L.C. - information as of 5/2/2025 11:07:59 PM
Export
Name
PENNSYLVANIA CVS PHARMACY, L.L.C.
Address
DBA: CVS/PHARMACY # 02783
518 PORT ROYAL AVENUE
PHILADELPHIA, PA 19128
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
DSH390097
Holy Redeemer Hospital
Disproportionate Share Hospital
1648 Huntingdon Pike
Meadowbrook
PA
07/01/2023
7/1/2023 12:01 AM
Details
DSH390174
THOMAS JEFFERSON UNIVERSITY HOSPITAL
Disproportionate Share Hospital
111 South 11th Street
Philadelphia
PA
04/01/2025
4/1/2025 12:01 AM
Details
FQHCLA463
Mazzoni Center
Washington West
Health Center Program Look-Alike
1201 Locust St.
Philadelphia
PA
10/01/2024
10/1/2024 12:01 AM
Details
FQHCLA463A
Mazzoni Center
Bainbridge
Health Center Program Look-Alike
1348 Bainbridge St
Philadelphia
PA
10/01/2024
10/1/2024 12:01 AM
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 # 02783 518 PORT ROYAL AVENUE PHILADELPHIA, PA 19128
3/28/2013 4:05 PM
Details
Name
Insert
PENNSYLVANIA CVS PHARMACY, L.L.C.
3/28/2013 4:05 PM
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