Pharmacy Details

ARIZONA CVS STORES, L.L.C. - information as of 5/19/2025 1:40:02 AM

Name
ARIZONA CVS STORES, L.L.C.

Address

DBA: CVS/PHARMACY # 09309
4744 S. HWY 95
FORT MOHAVE, AZ 86426

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	CHC28370-00	TRI-STATE COMMUNITY HEALTHCARE CENTER	Tri-State Community Healthcare Center	HRSA-Funded Health Center	1402 BAILEY AVE		NEEDLES	CA	10/01/2024		10/1/2024 12:01 AM
Details	CHC28370-02	Tri-State Community Healthcare Center	Tri-State Community Healthcare Center- Mohave Valley	HRSA-Funded Health Center	8700 AZ-95		Mohave Valley	AZ	07/01/2020	03/27/2020	6/16/2021 2:07 PM

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 # 09309 4744 S. HWY 95 FORT MOHAVE, AZ 86426	3/28/2013 4:29 PM
Details	Name	Insert			ARIZONA CVS STORES, L.L.C.	3/28/2013 4:29 PM