Pharmacy Details

OHIO CVS STORES, L.L.C. - information as of 6/5/2025 2:55:00 PM

Name
OHIO CVS STORES, L.L.C.

Address

DBA: CVS/PHARMACY # 03329
11706 CLIFTON BOULEVARD
LAKEWOOD, OH 44107

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	CH050920	NEIGHBORHOOD HEALTH CARE INCORPORATED	Ridge Community Health Center	HRSA-Funded Health Center	3569 Ridge Rd		Cleveland	OH	01/01/2018		10/16/2017 3:23 PM
Details	CHC30718-00	SIGNATURE HEALTH, INC.	Signature Health, Inc. Administration	HRSA-Funded Health Center	7232 Justin Way		Mentor	OH	10/01/2019		10/1/2019 12:05 AM
Details	DSH360037	ST. VINCENT CHARITY MEDICAL CENTER		Disproportionate Share Hospital	2351 EAST 22ND STREET		CLEVELAND	OH	01/01/2014	08/04/2016	7/25/2017 12:54 PM
Details	DSH360059	METROHEALTH MEDICAL CENTER		Disproportionate Share Hospital	2500 MetroHealth Drive		CLEVELAND	OH	04/01/2017		8/9/2017 4:55 PM
Details	DSH360077	FAIRVIEW HOSPITAL		Disproportionate Share Hospital	18101 LORAIN AVE		CLEVELAND	OH	04/01/2021		4/1/2021 12:01 AM
Details	DSH360137	UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER		Disproportionate Share Hospital	11100 EUCLID AVE.		CLEVELAND	OH	01/01/2023		1/1/2023 12:01 AM
Details	PED363302-00	UNIVERSITY HOSPITALS RAINBOW BABIES AND CHILDREN'S HOSPITAL		Children's Hospital	11100 EUCLID AVENUE		CLEVELAND	OH	01/01/2023		1/1/2023 12:01 AM
Details	RRC360180-00	CLEVELAND CLINIC HOSPITAL		Rural Referral Center	9500 EUCLID AVENUE		CLEVELAND	OH	04/01/2021		4/1/2021 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Comments	Insert				3/28/2013 4:15 PM
Details	Is Deleted	Insert			False	3/28/2013 4:15 PM
Addresses	Pharmacy Address	Insert			OHIO CVS STORES, L.L.C. DBA: CVS/PHARMACY # 03329 11706 CLIFTON BOULEVARD LAKEWOOD, OH 44107	3/28/2013 4:15 PM
Details	Name	Insert			OHIO CVS STORES, L.L.C.	3/28/2013 4:15 PM