Pharmacy Details

VIRGINIA CVS PHARMACY, L.L.C. - information as of 4/29/2025 1:45:38 AM

Name
VIRGINIA CVS PHARMACY, L.L.C.

Address

DBA: CVS/PHARMACY # 01406
9200 CENTREVILLE RD.
MANASSAS, VA 20110

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	CH030700	CENTRAL VIRGINIA HEALTH SERVICES, INC.	CVHS Buckingham	HRSA-Funded Health Center	25892 N James Madison Hwy		New Canton	VA	07/01/2023		7/1/2023 12:01 AM
Details	CHC12871-01	GREATER PRINCE WILLIAM COMMUNITY HEALTH CENTER, INC.	Evergreen Terrace	HRSA-Funded Health Center	9705 Liberia Ave		Manassas	VA	04/01/2025		4/1/2025 12:01 AM
Details	DSH490063	INOVA FAIRFAX HOSPITAL		Disproportionate Share Hospital	3300 Gallows Road		Falls Church	VA	07/01/2017	09/13/2018	10/18/2018 10:15 AM
Details	DSH490063	INOVA FAIRFAX HOSPITAL		Disproportionate Share Hospital	3300 Gallows Road		Falls Church	VA	07/01/2020		7/1/2020 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			VIRGINIA CVS PHARMACY, L.L.C. DBA: CVS/PHARMACY # 01406 9200 CENTREVILLE RD. MANASSAS, VA 20110	3/28/2013 4:05 PM
Details	Name	Insert			VIRGINIA CVS PHARMACY, L.L.C.	3/28/2013 4:05 PM