Pharmacy Details

OHIO CVS STORES, L.L.C. - information as of 4/29/2025 1:47:11 AM

Name
OHIO CVS STORES, L.L.C.

Address

DBA: CVS/PHARMACY # 07687
20641 FAIRMOUNT BLVD.
SHAKER HEIGHTS, OH 44118

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	CHC30718-00	SIGNATURE HEALTH, INC.	Signature Health, Inc. Administration	HRSA-Funded Health Center	7232 Justin Way		Mentor	OH	04/01/2020	03/31/2023	4/16/2023 12:46 PM
Details	DSH360059	METROHEALTH MEDICAL CENTER		Disproportionate Share Hospital	2500 MetroHealth Drive		CLEVELAND	OH	07/01/2019		7/1/2019 12:05 AM
Details	DSH360137	UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER		Disproportionate Share Hospital	11100 EUCLID AVE.		CLEVELAND	OH	07/01/2022		7/1/2022 12:01 AM
Details	PED363302-00	UNIVERSITY HOSPITALS RAINBOW BABIES AND CHILDREN'S HOSPITAL		Children's Hospital	11100 EUCLID AVENUE		CLEVELAND	OH	07/01/2022		7/1/2022 12:01 AM
Details	RRC360180-00	CLEVELAND CLINIC HOSPITAL		Rural Referral Center	9500 EUCLID AVENUE		CLEVELAND	OH	07/01/2022		7/1/2022 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 # 07687 20641 FAIRMOUNT BLVD. SHAKER HEIGHTS, OH 44118	3/28/2013 4:15 PM
Details	Name	Insert			OHIO CVS STORES, L.L.C.	3/28/2013 4:15 PM