340B Drug Pricing Program Database
CVS PHARMACY, INC. - information as of 6/21/2025 12:32:55 AM
Export
Name
CVS PHARMACY, INC.
Address
DBA CVS/PHARMACY #10487
1305 NORTH HIGHWAY 377
ROANOKE, TX 76262
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
FQHCLA471
AIDS ARMS INC
Prism Health North Texas at Worth Street Health Center
Health Center Program Look-Alike
4004 Worth Street STE 100
Dallas
TX
01/01/2025
1/1/2025 12:01 AM
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
04/01/2021
4/1/2021 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
04/01/2021
4/1/2021 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
04/01/2021
4/1/2021 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
04/01/2021
4/1/2021 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
10/01/2021
10/1/2021 12:01 AM
Details
PED453300-00
COOK CHILDREN'S MEDICAL CENTER
Children's Hospital
801 SEVENTH AVENUE
FORT WORTH
TX
05/11/2020
5/11/2020 11:06 AM
Details
STD75204
AIDS Arms, Inc. d/b/a Prism Health North Texas
Uptown Clinic
Sexually Transmitted Diseases
2801 Lemmon Ave
Suite 400
Dallas
TX
04/01/2021
4/1/2021 12:01 AM
Details
STD752041
AIDS Arms, Inc. d/b/a Prism Health North Texas
Oak Lawn Health Center
Sexually Transmitted Diseases
2801 Lemmon Ave
Suite 200
Dallas
TX
04/01/2021
4/1/2021 12:01 AM
Details
STD75208
AIDS Arms, Inc.d/b/a Prism Health North Texas
Oak Cliff Clinic
Sexually Transmitted Diseases
219 Sunset Ave
Suite 116-A
Dallas
TX
04/01/2021
4/1/2021 12:01 AM
Details
STD75215
AIDS Arms, Inc.d/b/a Prism Health North Texas
South Dallas Clinic
Sexually Transmitted Diseases
4922 Spring Ave
Dallas
TX
04/01/2021
4/1/2021 12:01 AM
Details
STD75246
AIDS ARMS, INC. d/b/a Prism Health North Texas
Worth Street
Sexually Transmitted Diseases
4004 Worth Street
Suite 100
Dallas
TX
08/27/2021
8/27/2021 8:00 PM
History
Section
Field
Action
Activity
Value Before
Value After
Timestamp
Details
Comments
Insert
8/11/2014 9:45 AM
Details
Is Deleted
Insert
False
8/11/2014 9:45 AM
Addresses
Pharmacy Address
Insert
CVS PHARMACY, INC. DBA CVS/PHARMACY #10487 1305 NORTH HIGHWAY 377 ROANOKE, TX 76262
8/11/2014 9:45 AM
Details
Name
Insert
CVS PHARMACY, INC.
8/11/2014 9:45 AM
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