Pharmacy Details

NORTH CAROLINA CVS PHARMACY, L.L.C. - information as of 4/27/2025 2:04:29 AM

Name
NORTH CAROLINA CVS PHARMACY, L.L.C.

Address

DBA: CVS/PHARMACY # 05313
13304 LEESVILLE CHURCH ROAD
RALEIGH, NC 27617

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	CH041000	Advance Community Health, Inc.	Southeast Raleigh - South	HRSA-Funded Health Center	1011 Rock Quarry Rd		Raleigh	NC	01/01/2020		9/23/2021 2:38 PM
Details	DSH340127	GRANVILLE MEDICAL CENTER		Disproportionate Share Hospital	1010 COLLEGE STREET		OXFORD	NC	05/06/2020	05/20/2021	8/23/2021 11:51 AM
Details	FQHCLA398	NEIGHBORHEALTH CENTER, INC.	NeighborHealth Center	Health Center Program Look-Alike	4201 Lake Boone Trail STE 005		Raleigh	NC	04/01/2023	07/01/2024	7/1/2024 12:01 AM
Details	FQHCLA398A	NEIGHBORHEALTH CENTER, INC.	NeighborHealth Center Susanne Berger Clinic	Health Center Program Look-Alike	2605 Blue Ridge Rd STE 225		Raleigh	NC	07/01/2024		7/1/2024 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 # 05313 13304 LEESVILLE CHURCH ROAD RALEIGH, NC 27617	3/28/2013 4:07 PM
Details	Name	Insert			NORTH CAROLINA CVS PHARMACY, L.L.C.	3/28/2013 4:07 PM