340B Drug Pricing Program Database
PENNSYLVANIA CVS PHARMACY, L.L.C. - information as of 6/2/2025 8:45:24 AM
Export
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
4/15/2025 7:26 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
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