Pharmacy Details

MARYLAND CVS PHARMACY, L.L.C. - information as of 6/9/2025 11:22:47 PM

Name
MARYLAND CVS PHARMACY, L.L.C.

Address

DBA: CVS/PHARMACY # 01501
19100 MONTGOMERY VILLAGE AVE.
GAITHERSBURG, MD 20886

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	CH030130	PARK WEST HEALTH SYSTEMS INCORPORATED	PARK WEST MEDICAL CENTER - BELVEDERE	HRSA-Funded Health Center	3319 W Belvedere Ave		Baltimore	MD	04/01/2025		4/1/2025 12:01 AM
Details	CH03702A	UNITY HEALTH CARE INC	Upper Cardozo Health Center	HRSA-Funded Health Center	3020 14th Street, NW		Washington	DC	10/01/2019	03/08/2024	3/8/2024 10:02 AM
Details	CHC10591-00	COMMUNITY CLINIC, INC.	CCI-Takoma Park	HRSA-Funded Health Center	7676 NEW HAMPSHIRE AVENUE	Suite 200	TAKOMA PARK	MD	10/01/2020		10/1/2020 12:01 AM
Details	CHC10591-02	COMMUNITY CLINIC, INC.	CCI-GAITHERSBURG	HRSA-Funded Health Center	220 GIRARD ST	Suite 100	GAITHERSBURG	MD	10/01/2020		10/1/2020 12:01 AM
Details	CHC10591-03	COMMUNITY CLINIC, INC.	CCI-SILVER SPRING	HRSA-Funded Health Center	8630 Fenton Street	Suite 1200	SILVER SPRING	MD	10/01/2020		10/1/2020 12:01 AM
Details	CHC10591-05	COMMUNITY CLINIC, INC., THE	CCI-Greenbelt	HRSA-Funded Health Center	7615 Ora Glen Drive		Greenbelt	MD	10/01/2020	04/01/2025	4/1/2025 12:01 AM
Details	CHC10591-07	COMMUNITY CLINIC, INC., THE	CCI Gaithersburg Dental	HRSA-Funded Health Center	200 Girard St. STE 206		Gaithersburg	MD	10/01/2020		10/1/2020 12:01 AM
Details	CHC10591-09	COMMUNITY CLINIC, INC., THE	CCI-Greenway	HRSA-Funded Health Center	7474 Greenway Center Drive	STE 300	Greenbelt	MD	10/01/2020		10/1/2020 12:01 AM
Details	CHC10591-10	COMMUNITY CLINIC, INC., THE	Community Clinic Inc	HRSA-Funded Health Center	8630 Fenton Street	Suite 1204	Silver Spring	MD	10/01/2020	07/01/2022	7/1/2022 12:01 AM
Details	CHC10591-13	Community Clinic, Inc., The	CCI-Wheaton	HRSA-Funded Health Center	2730 University Blvd W Ste ll10		Wheaton	MD	10/01/2021		10/1/2021 12:01 AM
Details	CHC10591-14	Community Clinic, Inc., The	CCI-Rockville	HRSA-Funded Health Center	2 Taft Ct		Rockville	MD	10/01/2021		10/1/2021 12:01 AM
Details	PED093300-00	Children's National Medical Center		Children's Hospital	111 Michigan Avenue, NW		Washington	DC	06/01/2023		6/1/2023 4:01 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Comments	Insert				3/28/2013 4:06 PM
Details	Is Deleted	Insert			False	3/28/2013 4:06 PM
Addresses	Pharmacy Address	Insert			MARYLAND CVS PHARMACY, L.L.C. DBA: CVS/PHARMACY # 01501 19100 MONTGOMERY VILLAGE AVE. GAITHERSBURG, MD 20886	3/28/2013 4:06 PM
Details	Name	Insert			MARYLAND CVS PHARMACY, L.L.C.	3/28/2013 4:06 PM