Pharmacy Details

MARYLAND CVS PHARMACY, L.L.C. - information as of 5/16/2025 12:59:10 AM

Name
MARYLAND CVS PHARMACY, L.L.C.

Address

DBA: CVS/PHARMACY # 04602
900 EDMONDSON AVE
BALTIMORE, MD 21228

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	CH033180	BALTIMORE MEDICAL SYSTEM, INC.	BMS at Yard 56	HRSA-Funded Health Center	5525 Eastern Avenue	Suite 301	Baltimore	MD	07/01/2023		7/1/2023 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 # 04602 900 EDMONDSON AVE BALTIMORE, MD 21228	3/28/2013 4:06 PM
Details	Name	Insert			MARYLAND CVS PHARMACY, L.L.C.	3/28/2013 4:06 PM