Pharmacy Details

PENNSYLVANIA CVS PHARMACY, L.L.C. - information as of 6/23/2025 12:53:57 AM

Name
PENNSYLVANIA CVS PHARMACY, L.L.C.

Address

DBA: CVS/PHARMACY # 02688
55 PARK AVE.
COLLEGEVILLE, PA 19426

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	DSH390174	THOMAS JEFFERSON UNIVERSITY HOSPITAL		Disproportionate Share Hospital	111 South 11th Street		Philadelphia	PA	01/01/2021		1/1/2021 12:01 AM
Details	DSH390329	EINSTEIN MEDICAL CENTER MONTGOMERY		Disproportionate Share Hospital	559 WEST GERMANTOWN PIKE		EAST NORRITON	PA	05/03/2021	01/01/2025	1/1/2025 12:01 AM
Details	DSH390329	EINSTEIN MEDICAL CENTER MONTGOMERY		Disproportionate Share Hospital	559 WEST GERMANTOWN PIKE		EAST NORRITON	PA	07/01/2025		6/2/2025 1:20 PM
Details	PED393303-00	THE CHILDREN'S HOSPITAL OF PHILADELPHIA		Children's Hospital	3401 Civic Center Blvd		PHILADELPHIA	PA	07/01/2019		7/1/2019 12:05 AM
Details	RWI19403	Family Service of Montgomery County, Pennsylvania		Ryan White Part A	3125 Ridge Pike		Eagleville	PA	02/22/2021		2/22/2021 4:15 PM
Details	RWI19403A	Family Service of Montgomery County, Pennsylvania		Ryan White Part A	1976 East High Street		Pottstown	PA	02/22/2021		2/22/2021 4:21 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 # 02688 55 PARK AVE. COLLEGEVILLE, PA 19426	3/28/2013 4:05 PM
Details	Name	Insert			PENNSYLVANIA CVS PHARMACY, L.L.C.	3/28/2013 4:05 PM