Pharmacy Details

WEST VIRGINIA CVS PHARMACY, L.L.C. - information as of 4/25/2025 7:49:06 PM

Name
WEST VIRGINIA CVS PHARMACY, L.L.C.

Address

DBA: CVS/PHARMACY # 07649
74 WEST MAIN ST.
BUCKHANNON, WV 26201

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	CAH511321-00	ST. JOSEPHS HOSPITAL		Critical Access Hospital	1 AMALIA DRIVE		BUCKHANNON	WV	10/01/2015		4/19/2017 10:45 AM
Details	CH034210	Community Care of West Virginia, Inc.	Community Care of Rock Cave	HRSA-Funded Health Center	78 Queens Alley Rd		ROCK CAVE	WV	07/01/2025		4/15/2025 1:04 PM
Details	DSH510001	WEST VIRGINIA UNIVERSITY HOSPITALS, INC.		Disproportionate Share Hospital	1 MEDICAL CENTER DRIVE		MORGANTOWN	WV	04/01/2020	04/01/2020	6/23/2020 2:52 PM
Details	DSH510001	WEST VIRGINIA UNIVERSITY HOSPITALS, INC.		Disproportionate Share Hospital	1 MEDICAL CENTER DRIVE		MORGANTOWN	WV	04/01/2022		4/1/2022 12:01 AM
Details	DSH510006	UNITED HOSPITAL CENTER		Disproportionate Share Hospital	327 MEDICAL PARK DRIVE		BRIDGEPORT	WV	04/01/2022		4/1/2022 12:01 AM
Details	DSH510030	DAVIS MEDICAL CENTER		Disproportionate Share Hospital	812 Gorman Avenue		ELKINS	WV	01/01/2025		1/1/2025 12:01 AM
Details	DSH510038	STONEWALL JACKSON MEMORIAL HOSPITAL		Disproportionate Share Hospital	230 Hospital Plaza		WESTON	WV	10/01/2021		10/1/2021 12:01 AM
Details	DSH510053	ST. JOSEPH'S HOSPITAL OF BUCKHANNON, INC.		Disproportionate Share Hospital	ONE AMALIA DRIVE		BUCKHANNON	WV	01/01/2015	10/01/2015	9/29/2015 7:14 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Comments	Insert				3/28/2013 4:07 PM
Details	Is Deleted	Insert			False	3/28/2013 4:07 PM
Addresses	Pharmacy Address	Insert			WEST VIRGINIA CVS PHARMACY, L.L.C. DBA: CVS/PHARMACY # 07649 74 WEST MAIN ST. BUCKHANNON, WV 26201	3/28/2013 4:07 PM
Details	Name	Insert			WEST VIRGINIA CVS PHARMACY, L.L.C.	3/28/2013 4:07 PM