340B Drug Pricing Program Database
NORTH CAROLINA CVS PHARMACY, L.L.C. - information as of 4/25/2025 8:49:07 PM
Export
Name
NORTH CAROLINA CVS PHARMACY, L.L.C.
Address
DBA: CVS/PHARMACY # 04398
921 SOUTH STATE STREET
YADKINVILLE, NC 27055
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
CH045630
GASTON FAMILY HEALTH SERVICES INC
Kintegra Family Medicine - Hudson
HRSA-Funded Health Center
991 W Hudson Blvd
Gastonia
NC
07/01/2022
7/1/2022 12:01 AM
Details
DSH340047
NORTH CAROLINA BAPTIST HOSPITAL
Disproportionate Share Hospital
MEDICAL CENTER BOULEVARD
WINSTON-SALEM
NC
04/01/2016
9/3/2019 8:48 AM
Details
RRC340014-00
FORSYTH MEMORIAL HOSPITAL INC
Rural Referral Center
3333 SILAS CREEK PARKWAY
WINSTON SALEM
NC
04/01/2023
4/1/2023 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
NORTH CAROLINA CVS PHARMACY, L.L.C. DBA: CVS/PHARMACY # 04398 921 SOUTH STATE STREET YADKINVILLE, NC 27055
3/28/2013 4:07 PM
Details
Name
Insert
NORTH CAROLINA CVS PHARMACY, L.L.C.
3/28/2013 4:07 PM
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