340B Drug Pricing Program Database


SOUTH CAROLINA CVS PHARMACY, L.L.C. - information as of 4/25/2025 8:56:36 PM


SOUTH CAROLINA CVS PHARMACY, L.L.C.

DBA: CVS/PHARMACY # 00563
1515 OLD TROLLEY RD
SUMMERVILLE, SC 29485



  • 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
DetailsDSH420065BON SECOURS - ST. FRANCIS XAVIER HOSPITAL Disproportionate Share Hospital2095 HENRY TECKLENBURG DRIVE
CHARLESTONSC07/01/202207/01/20254/25/2025 9:00 AM
DetailsRRC420065-00BON SECOURS ST. FRANCIS XAVIER HOSPI Rural Referral Center2095 HENRY TECKLENBURG DRIVE
CHARLESTONSC07/01/2025 4/25/2025 9:00 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsCommentsInsert   3/28/2013 4:09 PM
DetailsIs DeletedInsert  False3/28/2013 4:09 PM
AddressesPharmacy AddressInsert  SOUTH CAROLINA CVS PHARMACY, L.L.C. DBA: CVS/PHARMACY # 00563 1515 OLD TROLLEY RD SUMMERVILLE, SC 294853/28/2013 4:09 PM
DetailsNameInsert  SOUTH CAROLINA CVS PHARMACY, L.L.C.3/28/2013 4:09 PM