Pharmacy Details

WEST VIRGINIA CVS PHARMACY, L.L.C. - information as of 6/4/2025 12:48:01 PM

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

Address

DBA: CVS/PHARMACY # 01427
45 S. MINERAL ST.
KEYSER, WV 26726

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	CAH511311-00	HAMPSHIRE MEMORIAL HOSPITAL, INC.		Critical Access Hospital	363 Sunrise Boulevard		ROMNEY	WV	04/01/2020		4/1/2020 12:05 AM
Details	CAH511315-00	POTOMAC VALLEY HOSPITAL		Critical Access Hospital	100 PIN OAK LANE		KEYSER	WV	10/01/2020		10/1/2020 12:01 AM
Details	CH030900	SHENANDOAH VALLEY MEDICAL SYSTEM, INCORPORATED	SCH Martinsburg	HRSA-Funded Health Center	99 TAVERN ROAD		MARTINSBURG	WV	10/01/2022		10/1/2022 12:01 AM
Details	CH031600	TRI-STATE COMMUNITY HEALTH CENTER	TRI-STATE COMMUNITY HEALTH CENTER, INC.	HRSA-Funded Health Center	130 W High St		Hancock	MD	01/01/2020		1/1/2020 12:05 AM
Details	CH03702A	UNITY HEALTH CARE INC	Upper Cardozo Health Center	HRSA-Funded Health Center	3020 14th Street, NW		Washington	DC	10/01/2019	09/17/2020	9/24/2020 11:40 AM
Details	CHC06642-00	WESTERN MARYLAND HEALTH CARE CORPORATION	Mountain Laurel Medical Center	HRSA-Funded Health Center	1027 Memorial Dr		Oakland	MD	04/01/2020		4/1/2020 12:05 AM
Details	CHC06642-01	WESTERN MARYLAND HEALTH CARE CORPORATION	Mountain Laurel Medical Center Grantsville	HRSA-Funded Health Center	104 PARKVIEW DR		GRANTSVILLE	MD	10/01/2023		10/1/2023 12:01 AM
Details	CHC06642-02	Western Maryland Health Care Corporation	Mountain Laurel Medical Center Westernport	HRSA-Funded Health Center	22221 Westernport Rd SW		Westernport	MD	10/01/2023		10/1/2023 12:01 AM
Details	CHC06642-03	WESTERN MARYLAND HEALTH CARE CORPORATION	Mountain Laurel Medical Center Bruceton Mills	HRSA-Funded Health Center	198 Morgantown St	Ste 2	Bruceton Mills	WV	01/01/2024		1/1/2024 12:01 AM
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

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 # 01427 45 S. MINERAL ST. KEYSER, WV 26726	3/28/2013 4:07 PM
Details	Name	Insert			WEST VIRGINIA CVS PHARMACY, L.L.C.	3/28/2013 4:07 PM