340B Drug Pricing Program Database


SOUTH CAROLINA CVS PHARMACY, L.L.C. - information as of 5/17/2025 12:07:27 AM


SOUTH CAROLINA CVS PHARMACY, L.L.C.

DBA: CVS/PHARMACY # 07012
1330 DUTCH FORK RD
IRMO, SC 29063



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsDSH420004MEDICAL UNIVERSITY HOSPITAL AUTHORITYMEDICAL UNIVERSITY HOSPITALDisproportionate Share Hospital169 ASHLEY AVENUE
CHARLESTONSC10/01/2022 10/1/2022 12:01 AM
DetailsDSH420018PRISMA HEALTH RICHLAND HOSPITAL Disproportionate Share Hospital5 Richland Medical Park Drive
COLUMBIASC04/01/2013 4/20/2017 7:01 PM
DetailsDSH420086PRISMA HEALTH BAPTIST HOSPITAL Disproportionate Share Hospital1333 Taylor Street
COLUMBIASC07/01/2023 7/1/2023 12:01 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  SOUTH CAROLINA CVS PHARMACY, L.L.C. DBA: CVS/PHARMACY # 07012 1330 DUTCH FORK RD IRMO, SC 2906312/21/2021 12:44 PM
DetailsCommentsInsert   3/28/2013 4:08 PM
DetailsIs DeletedInsert  False3/28/2013 4:08 PM
AddressesPharmacy AddressInsert  SOUTH CAROLINA CVS PHARMACY, L.L.C. DBA: CVS/PHARMACY # 07012 1330 DUTCH FORK RD. PO BOX 568 BALLENTINE, SC 290023/28/2013 4:08 PM
DetailsNameInsert  SOUTH CAROLINA CVS PHARMACY, L.L.C.3/28/2013 4:08 PM