Pharmacy Details

CVS PHARMACY, INC. - information as of 4/23/2025 11:43:45 PM

Name
CVS PHARMACY, INC.

Address

DBA: CVS/PHARMACY # 05869
1413 OATS DR.
MESQUITE, TX 75150

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	HV01710	AIDS ARMS, INC. d/b/a Prism Health North Texas	Oak Cliff Clinic	Ryan White Part C	219 SUNSET AVENUE	Suite 116A	DALLAS	TX	04/01/2024		4/1/2024 12:01 AM
Details	HV01710A	AIDS Arms, Inc.d/b/a Prism Health North Texas	South Dallas Clinic	Ryan White Part C	4922 Spring Ave		Dallas	TX	04/01/2024		4/1/2024 12:01 AM
Details	HV01710B	AIDS Arms, Inc. d/b/a Prism Health North Texas	Uptown Clinic	Ryan White Part C	2801 Lemmon Ave	Suite 400	Dallas	TX	04/01/2023		4/1/2023 12:01 AM
Details	HV01710C	AIDS Arms, Inc., d/b/a Prism Health North Texas	Oak Lawn Health Center	Ryan White Part C	2801 Lemmon Ave	Suite 200	Dallas	TX	04/01/2024		4/1/2024 12:01 AM
Details	HV01710D	AIDS ARMS, INC. d/b/a Prism Health North Texas	Worth Street	Ryan White Part C	4004 Worth Street	Suite 100	Dallas	TX	04/01/2024		4/1/2024 12:01 AM
Details	STD75146	Center for Health Empowerment	DeSoto	Sexually Transmitted Diseases	951 York Drive	Ste 102	DeSoto	TX	04/01/2025		4/1/2025 12:01 AM
Details	STD75234	Center for Health Empowerment	Center for Health Empowerment Dallas County	Sexually Transmitted Diseases	951 York Drive	Ste 102	DeSoto	TX	04/01/2025		4/1/2025 12:01 AM
Details	STD787021	CHE Center for Health Empowerment		Sexually Transmitted Diseases	2312 Western Trails Blvd	Ste 103	Austin	TX	04/01/2025		4/1/2025 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Comments	Insert				3/28/2013 4:25 PM
Details	Is Deleted	Insert			False	3/28/2013 4:25 PM
Addresses	Pharmacy Address	Insert			CVS PHARMACY, INC. DBA: CVS/PHARMACY # 05869 1413 OATS DR. MESQUITE, TX 75150	3/28/2013 4:25 PM
Details	Name	Insert			CVS PHARMACY, INC.	3/28/2013 4:25 PM