340B Drug Pricing Program Database
ARIZONA CVS STORES, L.L.C. - information as of 5/29/2025 2:31:52 AM
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Name
ARIZONA CVS STORES, L.L.C.
Address
DBA: CVS/PHARMACY # 09245
12409 N. TATUM BLVD.
PHOENIX, AZ 85032
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
DSH030014
HONORHEALTH JOHN C. LINCOLN MED CTR
Disproportionate Share Hospital
250 E Dunlap Ave
Phoenix
AZ
10/01/2021
10/1/2021 12:01 AM
Details
STD850153
CAN Community Health, Inc.
AZ Suite 6
Sexually Transmitted Diseases
4350 N 19th Avenue
Suite 6
Phoenix
AZ
01/01/2022
1/1/2022 12:01 AM
Details
STD85028
RSG Healthcare
Sexually Transmitted Diseases
11209 N Tatum BLVD
STE 185
Phoenix
AZ
07/01/2024
7/1/2024 12:01 AM
History
Section
Field
Action
Activity
Value Before
Value After
Timestamp
Details
Comments
Insert
3/28/2013 4:29 PM
Details
Is Deleted
Insert
False
3/28/2013 4:29 PM
Addresses
Pharmacy Address
Insert
ARIZONA CVS STORES, L.L.C. DBA: CVS/PHARMACY # 09245 12409 N. TATUM BLVD. PHOENIX, AZ 85032
3/28/2013 4:29 PM
Details
Name
Insert
ARIZONA CVS STORES, L.L.C.
3/28/2013 4:29 PM
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