Pharmacy Details

ALABAMA CVS PHARMACY, L.L.C. - information as of 5/27/2025 2:56:11 PM

Name
ALABAMA CVS PHARMACY, L.L.C.

Address

DBA: CVS/PHARMACY # 04869
6990 ATLANTA HWY.
MONTGOMERY, AL 36117

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	DSH010024	JACKSON HOSPITAL AND CLINIC INC		Disproportionate Share Hospital	1725 PINE STREET		MONTGOMERY	AL	09/12/2022	12/14/2023	7/1/2024 3:49 PM
Details	RRC010024-00	JACKSON HOSPITAL AND CLINIC INC		Rural Referral Center	1725 PINE STREET		MONTGOMERY	AL	04/01/2020	09/07/2022	9/7/2022 10:51 AM
Details	RWII35233	Birmingham AIDS Outreach, Inc.	Magic City Wellness Center	Ryan White Part B	3220 5th Avenue South	Suite 100	Birmingham	AL	10/25/2021	12/05/2023	2/5/2024 1:39 PM
Details	RWII354011B	West Alabama AIDS Outreach	Five Horizons Health Services - Selma	Ryan White Part B	1023 Medical Center Parkway	STE 308	Selma	AL	01/01/2024	12/14/2023	1/5/2024 2:43 PM
Details	RWII354011C	West Alabama AIDS Outreach	Five Horizons Health Services - Wellness Center	Ryan White Part B	3050 McGehee Road		Montgomery	AL	10/01/2023	12/14/2023	1/8/2024 10:15 AM
Details	RWII354011F	West Alabama AIDS Outreach	Five Horizons Health Services	Ryan White Part B	2900 McGehee Road		Montgomery	AL	10/01/2023	12/14/2023	1/9/2024 4:48 PM
Details	RWII36105	West Alabama AIDS Outreach	Five Horizons Health Services - Beacon Center	Ryan White Part B	3091 Gaston Avenue	Unit B	Montgomery	AL	10/01/2023	12/14/2023	1/9/2024 5:38 PM
Details	SCH010102-00	JOHN PAUL JONES HOSPITAL		Sole Community Hospital	317 MCWILLIAMS AVENUE		CAMDEN	AL	01/01/2021		1/1/2021 12:01 AM
Details	STD35233	BIRMINGHAM AIDS OUTREACH INC.	Magic City Wellness Center	Sexually Transmitted Diseases	3220 5th Avenue South	Suite 100	Birmingham	AL	10/25/2021	12/05/2023	2/5/2024 1:42 PM
Details	STD36105	West Alabama AIDS Outreach	Five Horizons Health Services - Beacon Center	Sexually Transmitted Diseases	3091 Gaston Avenue	Unit B	Montgomery	AL	10/01/2023	12/14/2023	1/8/2024 9:47 AM
Details	STD36111	West Alabama AIDS Outreach	Five Horizons Health Services	Sexually Transmitted Diseases	2900 McGehee Road		Montgomery	AL	10/01/2023	12/14/2023	1/8/2024 9:43 AM
Details	STD361111	West Alabama AIDS Outreach	Five Horizons Health Services - Wellness Center	Sexually Transmitted Diseases	3050 McGehee Road		Montgomery	AL	10/01/2023	12/14/2023	1/8/2024 10:56 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Comments	Insert				3/28/2013 4:13 PM
Details	Is Deleted	Insert			False	3/28/2013 4:13 PM
Addresses	Pharmacy Address	Insert			ALABAMA CVS PHARMACY, L.L.C. DBA: CVS/PHARMACY # 04869 6990 ATLANTA HWY. MONTGOMERY, AL 36117	3/28/2013 4:13 PM
Details	Name	Insert			ALABAMA CVS PHARMACY, L.L.C.	3/28/2013 4:13 PM