Pharmacy Details

MARYLAND CVS PHARMACY, L.L.C. - information as of 4/24/2025 11:26:36 PM

Name
MARYLAND CVS PHARMACY, L.L.C.

Address

DBA: CVS/PHARMACY # 01909
6480 OLD WATERLOO RD
ELKRIDGE, MD 21075

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	CH036640	CHASE BREXTON HEALTH SERVICES, INC	Chase Brexton Health Services, Inc.	HRSA-Funded Health Center	1111 North Charles Street		Baltimore	MD	07/01/2024		7/1/2024 12:01 AM
Details	DSH210011	ST. AGNES HOSPITAL		Disproportionate Share Hospital	900 CATON AVENUE		BALTIMORE	MD	07/01/2023		7/1/2023 12:01 AM

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 # 01909 6480 OLD WATERLOO RD ELKRIDGE, MD 21075	3/28/2013 4:06 PM
Details	Name	Insert			MARYLAND CVS PHARMACY, L.L.C.	3/28/2013 4:06 PM