Covered Entity Details

CHC33795-11 COUNTY OF MONTEREY (Approved) - information as of 5/27/2025 2:38:11 PM

Main Details

Name

COUNTY OF MONTEREY

Subdivision Name

Alisal Integrated Health Center

Type

HRSA-Funded Health Center

Site ID

BPS-H80-039818

340B ID

CHC33795-11

Grant Number

H80CS33795

Additional Details

Current Program Status

Approved

Registration Date

4/4/2025

Participating Start Date

7/1/2025

Participating Approval Date

4/24/2025

Last Recertification Date

Contacts

Authorizing Official

Monterey County Health Department
Prashant Shinde, Bureau Chief
(831) 796-1370

Primary Contact

Monterey County Health Department
Prisca Segovia, Management Analyst
(831) 755-4939

Addresses

Street Address

331 N Sanborn Rd
Salinas, CA 93905-2220

Billing Address

County of Monterey - Clinic Services Finance/Billing
1441 Schilling Place, South Building, FL 1
Salinas, CA 93901

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
CA		1194853861,1699726786,1508629171

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CHC33795-00	Active	BPS-H80-029569	Monterey, County Of	County of Monterey - Laurel Pediatric Clinic	1441 Constitution Blvd, Bldg. #200, Floor STE 101	Salinas	CA
CHC33795-01	Active	BPS-H80-029567	Monterey, County Of	Monterey County Clinic at Marina	3155 De Forest Rd	Marina	CA
CHC33795-02	Active	BPS-H80-029565	Monterey, County Of	County of Monterey - Laurel Vista	1441 Constitution Blvd. Bldg. 400 STE 301	Salinas	CA
CHC33795-03	Active	BPS-H80-029563	Monterey, County Of	County of Monterey - Laurel Internal Medicine Clinic	1441 Constitution Blvd. Bldg 151 STE 16	Salinas	CA
CHC33795-04	Active	BPS-H80-029575	Monterey, County Of	County of Monterey Integrated Health Clinic	299 12th St	Marina	CA
CHC33795-05	Active	BPS-H80-029568	Monterey, County Of	County of Monterey - Laurel Family Practice	1441 Constitution Blvd, Bldg. 400 STE 300	Salinas	CA
CHC33795-06	Active	BPS-H80-029566	Monterey, County Of	Alisal Health Center	559 E Alisal St STE 201	Salinas	CA
CHC33795-07	Active	BPS-H80-029574	Monterey, County Of	County of Monterey - Seaside Family Health Center	1156 Fremont Blvd	Seaside	CA
CHC33795-08	Active	BPS-H80-029571	Monterey, County Of	Bienestar	1441 Constitution Blvd BLDG 400 STE 201	Salinas	CA
CHC33795-09	Active	BPS-H80-029572	Monterey, County Of	County of Monterey - NIDO	1441 Constitution Blvd. BLDG 760	Salinas	CA
CHC33795-10	Active	BPS-H80-037348	COUNTY OF MONTEREY	County of Monterey Mobile Clinic 1	855 E Laurel Dr	Salinas	CA
CHC33795-11	Approved	BPS-H80-039818	COUNTY OF MONTEREY	Alisal Integrated Health Center	331 N Sanborn Rd	Salinas	CA

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CHC33795-06	AVITA PHARMACY 1025	PHARMEDQUEST PHARMACY SERVICES DBA AVITA	3020 SATURN ST STE 100	BREA	CA	92821	04/01/2023
CHC33795-02	AVITA PHARMACY 1025	PHARMEDQUEST PHARMACY SERVICES DBA AVITA	3020 SATURN ST STE 100	BREA	CA	92821	04/01/2023
CHC33795-09	AVITA PHARMACY 1025	PHARMEDQUEST PHARMACY SERVICES DBA AVITA	3020 SATURN ST STE 100	BREA	CA	92821	04/01/2023
CHC33795-04	AVITA PHARMACY 1025	PHARMEDQUEST PHARMACY SERVICES DBA AVITA	3020 SATURN ST STE 100	BREA	CA	92821	04/01/2023
CHC33795-07	AVITA PHARMACY 1025	PHARMEDQUEST PHARMACY SERVICES DBA AVITA	3020 SATURN ST STE 100	BREA	CA	92821	04/01/2023
CHC33795-00	AVITA PHARMACY 1025	PHARMEDQUEST PHARMACY SERVICES DBA AVITA	3020 SATURN ST STE 100	BREA	CA	92821	04/01/2023
CHC33795-03	AVITA PHARMACY 1025	PHARMEDQUEST PHARMACY SERVICES DBA AVITA	3020 SATURN ST STE 100	BREA	CA	92821	04/01/2023
CHC33795-05	AVITA PHARMACY 1025	PHARMEDQUEST PHARMACY SERVICES DBA AVITA	3020 SATURN ST STE 100	BREA	CA	92821	04/01/2023
CHC33795-08	AVITA PHARMACY 1025	PHARMEDQUEST PHARMACY SERVICES DBA AVITA	3020 SATURN ST STE 100	BREA	CA	92821	04/01/2023
CHC33795-01	AVITA PHARMACY 1025	PHARMEDQUEST PHARMACY SERVICES DBA AVITA	3020 SATURN ST STE 100	BREA	CA	92821	04/01/2023
CHC33795-08	AVITA PHARMACY 1040	AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10	6100 CORPORATE BLVD STE 250	BATON ROUGE	LA	70808	04/01/2023
CHC33795-00	AVITA PHARMACY 1040	AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10	6100 CORPORATE BLVD STE 250	BATON ROUGE	LA	70808	04/01/2023
CHC33795-01	AVITA PHARMACY 1040	AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10	6100 CORPORATE BLVD STE 250	BATON ROUGE	LA	70808	04/01/2023
CHC33795-05	AVITA PHARMACY 1040	AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10	6100 CORPORATE BLVD STE 250	BATON ROUGE	LA	70808	04/01/2023
CHC33795-06	AVITA PHARMACY 1040	AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10	6100 CORPORATE BLVD STE 250	BATON ROUGE	LA	70808	04/01/2023
CHC33795-03	AVITA PHARMACY 1040	AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10	6100 CORPORATE BLVD STE 250	BATON ROUGE	LA	70808	04/01/2023
CHC33795-09	AVITA PHARMACY 1040	AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10	6100 CORPORATE BLVD STE 250	BATON ROUGE	LA	70808	04/01/2023
CHC33795-07	AVITA PHARMACY 1040	AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10	6100 CORPORATE BLVD STE 250	BATON ROUGE	LA	70808	04/01/2023
CHC33795-02	AVITA PHARMACY 1040	AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10	6100 CORPORATE BLVD STE 250	BATON ROUGE	LA	70808	04/01/2023
CHC33795-04	AVITA PHARMACY 1040	AVITA DRUGS, LLC D/B/A AVITA PHARMACY 10	6100 CORPORATE BLVD STE 250	BATON ROUGE	LA	70808	04/01/2023
CHC33795-02	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16447	2040 CALIFORNIA AVE	SAND CITY	CA	93955	01/01/2020
CHC33795-00	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16447	2040 CALIFORNIA AVE	SAND CITY	CA	93955	01/01/2020
CHC33795-04	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16200	1640 N MAIN ST	SALINAS	CA	93906	01/01/2020
CHC33795-06	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16447	2040 CALIFORNIA AVE	SAND CITY	CA	93955	01/01/2020
CHC33795-05	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16200	1640 N MAIN ST	SALINAS	CA	93906	01/01/2020
CHC33795-07	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16200	1640 N MAIN ST	SALINAS	CA	93906	01/01/2020
CHC33795-06	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16200	1640 N MAIN ST	SALINAS	CA	93906	01/01/2020
CHC33795-00	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16200	1640 N MAIN ST	SALINAS	CA	93906	01/01/2020
CHC33795-04	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16447	2040 CALIFORNIA AVE	SAND CITY	CA	93955	01/01/2020
CHC33795-03	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16447	2040 CALIFORNIA AVE	SAND CITY	CA	93955	01/01/2020
CHC33795-02	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16200	1640 N MAIN ST	SALINAS	CA	93906	01/01/2020
CHC33795-08	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16447	2040 CALIFORNIA AVE	SAND CITY	CA	93955	01/01/2020
CHC33795-08	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16200	1640 N MAIN ST	SALINAS	CA	93906	01/01/2020
CHC33795-01	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16447	2040 CALIFORNIA AVE	SAND CITY	CA	93955	01/01/2020
CHC33795-01	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16200	1640 N MAIN ST	SALINAS	CA	93906	01/01/2020
CHC33795-07	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16447	2040 CALIFORNIA AVE	SAND CITY	CA	93955	01/01/2020
CHC33795-03	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16200	1640 N MAIN ST	SALINAS	CA	93906	01/01/2020
CHC33795-05	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16447	2040 CALIFORNIA AVE	SAND CITY	CA	93955	01/01/2020
CHC33795-09	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16447	2040 CALIFORNIA AVE	SAND CITY	CA	93955	04/01/2020
CHC33795-09	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16200	1640 N MAIN ST	SALINAS	CA	93906	04/01/2020
CHC33795-01	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09802	2170 FREMONT ST	MONTEREY	CA	93940	01/01/2020
CHC33795-04	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 03050	268 RESERVATION RD	MARINA	CA	93933	01/01/2020
CHC33795-07	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09802	2170 FREMONT ST	MONTEREY	CA	93940	01/01/2020
CHC33795-03	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09349	347 E ALISAL ST	SALINAS	CA	93901	01/01/2020
CHC33795-01	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 01300	662 E BORONDA RD	SALINAS	CA	93906	01/01/2020
CHC33795-06	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09349	347 E ALISAL ST	SALINAS	CA	93901	01/01/2020
CHC33795-02	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 03050	268 RESERVATION RD	MARINA	CA	93933	01/01/2020
CHC33795-06	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 03050	268 RESERVATION RD	MARINA	CA	93933	01/01/2020
CHC33795-06	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 01300	662 E BORONDA RD	SALINAS	CA	93906	01/01/2020
CHC33795-06	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09802	2170 FREMONT ST	MONTEREY	CA	93940	01/01/2020
CHC33795-08	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09802	2170 FREMONT ST	MONTEREY	CA	93940	01/01/2020
CHC33795-04	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09186	110 E LAUREL DR	SALINAS	CA	93906	01/01/2020
CHC33795-08	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09320	686 LIGHTHOUSE AVE	MONTEREY	CA	93940	01/01/2020
CHC33795-02	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 01300	662 E BORONDA RD	SALINAS	CA	93906	01/01/2020
CHC33795-01	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09320	686 LIGHTHOUSE AVE	MONTEREY	CA	93940	01/01/2020
CHC33795-06	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09186	110 E LAUREL DR	SALINAS	CA	93906	01/01/2020
CHC33795-03	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09186	110 E LAUREL DR	SALINAS	CA	93906	01/01/2020
CHC33795-07	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09320	686 LIGHTHOUSE AVE	MONTEREY	CA	93940	01/01/2020
CHC33795-01	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09506	1140 S MAIN ST	SALINAS	CA	93901	01/01/2020
CHC33795-00	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09506	1140 S MAIN ST	SALINAS	CA	93901	01/01/2020
CHC33795-02	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09186	110 E LAUREL DR	SALINAS	CA	93906	01/01/2020
CHC33795-03	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09802	2170 FREMONT ST	MONTEREY	CA	93940	01/01/2020
CHC33795-08	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 01300	662 E BORONDA RD	SALINAS	CA	93906	01/01/2020
CHC33795-05	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09506	1140 S MAIN ST	SALINAS	CA	93901	01/01/2020
CHC33795-04	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09802	2170 FREMONT ST	MONTEREY	CA	93940	01/01/2020
CHC33795-06	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09506	1140 S MAIN ST	SALINAS	CA	93901	01/01/2020
CHC33795-03	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09320	686 LIGHTHOUSE AVE	MONTEREY	CA	93940	01/01/2020
CHC33795-07	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09349	347 E ALISAL ST	SALINAS	CA	93901	01/01/2020
CHC33795-07	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09186	110 E LAUREL DR	SALINAS	CA	93906	01/01/2020
CHC33795-04	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09506	1140 S MAIN ST	SALINAS	CA	93901	01/01/2020
CHC33795-01	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 03050	268 RESERVATION RD	MARINA	CA	93933	01/01/2020
CHC33795-04	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09320	686 LIGHTHOUSE AVE	MONTEREY	CA	93940	01/01/2020
CHC33795-01	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09349	347 E ALISAL ST	SALINAS	CA	93901	01/01/2020
CHC33795-03	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09506	1140 S MAIN ST	SALINAS	CA	93901	01/01/2020
CHC33795-02	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09349	347 E ALISAL ST	SALINAS	CA	93901	01/01/2020
CHC33795-05	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09320	686 LIGHTHOUSE AVE	MONTEREY	CA	93940	01/01/2020
CHC33795-05	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09186	110 E LAUREL DR	SALINAS	CA	93906	01/01/2020
CHC33795-00	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 01300	662 E BORONDA RD	SALINAS	CA	93906	01/01/2020
CHC33795-05	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09802	2170 FREMONT ST	MONTEREY	CA	93940	01/01/2020
CHC33795-00	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 03050	268 RESERVATION RD	MARINA	CA	93933	01/01/2020
CHC33795-02	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09320	686 LIGHTHOUSE AVE	MONTEREY	CA	93940	01/01/2020
CHC33795-02	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09506	1140 S MAIN ST	SALINAS	CA	93901	01/01/2020
CHC33795-03	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 03050	268 RESERVATION RD	MARINA	CA	93933	01/01/2020
CHC33795-00	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09320	686 LIGHTHOUSE AVE	MONTEREY	CA	93940	01/01/2020
CHC33795-08	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09506	1140 S MAIN ST	SALINAS	CA	93901	01/01/2020
CHC33795-04	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 01300	662 E BORONDA RD	SALINAS	CA	93906	01/01/2020
CHC33795-06	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09320	686 LIGHTHOUSE AVE	MONTEREY	CA	93940	01/01/2020
CHC33795-00	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09186	110 E LAUREL DR	SALINAS	CA	93906	01/01/2020
CHC33795-05	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09349	347 E ALISAL ST	SALINAS	CA	93901	01/01/2020
CHC33795-02	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09802	2170 FREMONT ST	MONTEREY	CA	93940	01/01/2020
CHC33795-08	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09349	347 E ALISAL ST	SALINAS	CA	93901	01/01/2020
CHC33795-00	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09349	347 E ALISAL ST	SALINAS	CA	93901	01/01/2020
CHC33795-04	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09349	347 E ALISAL ST	SALINAS	CA	93901	01/01/2020
CHC33795-01	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09186	110 E LAUREL DR	SALINAS	CA	93906	01/01/2020
CHC33795-05	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 03050	268 RESERVATION RD	MARINA	CA	93933	01/01/2020
CHC33795-08	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 03050	268 RESERVATION RD	MARINA	CA	93933	01/01/2020
CHC33795-05	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 01300	662 E BORONDA RD	SALINAS	CA	93906	01/01/2020
CHC33795-07	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 03050	268 RESERVATION RD	MARINA	CA	93933	01/01/2020
CHC33795-07	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 01300	662 E BORONDA RD	SALINAS	CA	93906	01/01/2020
CHC33795-07	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09506	1140 S MAIN ST	SALINAS	CA	93901	01/01/2020
CHC33795-03	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 01300	662 E BORONDA RD	SALINAS	CA	93906	01/01/2020
CHC33795-00	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09802	2170 FREMONT ST	MONTEREY	CA	93940	01/01/2020
CHC33795-08	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09186	110 E LAUREL DR	SALINAS	CA	93906	01/01/2020
CHC33795-09	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 03050	268 RESERVATION RD	MARINA	CA	93933	04/01/2020
CHC33795-09	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09186	110 E LAUREL DR	SALINAS	CA	93906	04/01/2020
CHC33795-09	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 01300	662 E BORONDA RD	SALINAS	CA	93906	04/01/2020
CHC33795-09	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09349	347 E ALISAL ST	SALINAS	CA	93901	04/01/2020
CHC33795-09	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09506	1140 S MAIN ST	SALINAS	CA	93901	04/01/2020
CHC33795-09	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09802	2170 FREMONT ST	MONTEREY	CA	93940	04/01/2020
CHC33795-09	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09320	686 LIGHTHOUSE AVE	MONTEREY	CA	93940	04/01/2020
CHC33795-02	LONGS DRUGS OF LEXINGTON	D/B/A AVITA PHARMACY 1051	1216 W MAIN ST STE D	LEXINGTON	SC	29072-2453	04/01/2023
CHC33795-04	LONGS DRUGS OF LEXINGTON	D/B/A AVITA PHARMACY 1051	1216 W MAIN ST STE D	LEXINGTON	SC	29072-2453	04/01/2023
CHC33795-00	LONGS DRUGS OF LEXINGTON	D/B/A AVITA PHARMACY 1051	1216 W MAIN ST STE D	LEXINGTON	SC	29072-2453	04/01/2023
CHC33795-07	LONGS DRUGS OF LEXINGTON	D/B/A AVITA PHARMACY 1051	1216 W MAIN ST STE D	LEXINGTON	SC	29072-2453	04/01/2023
CHC33795-06	LONGS DRUGS OF LEXINGTON	D/B/A AVITA PHARMACY 1051	1216 W MAIN ST STE D	LEXINGTON	SC	29072-2453	04/01/2023
CHC33795-05	LONGS DRUGS OF LEXINGTON	D/B/A AVITA PHARMACY 1051	1216 W MAIN ST STE D	LEXINGTON	SC	29072-2453	04/01/2023
CHC33795-09	LONGS DRUGS OF LEXINGTON	D/B/A AVITA PHARMACY 1051	1216 W MAIN ST STE D	LEXINGTON	SC	29072-2453	04/01/2023
CHC33795-08	LONGS DRUGS OF LEXINGTON	D/B/A AVITA PHARMACY 1051	1216 W MAIN ST STE D	LEXINGTON	SC	29072-2453	04/01/2023
CHC33795-01	LONGS DRUGS OF LEXINGTON	D/B/A AVITA PHARMACY 1051	1216 W MAIN ST STE D	LEXINGTON	SC	29072-2453	04/01/2023
CHC33795-03	LONGS DRUGS OF LEXINGTON	D/B/A AVITA PHARMACY 1051	1216 W MAIN ST STE D	LEXINGTON	SC	29072-2453	04/01/2023
CHC33795-00	PHARMEDQUEST PHARMACY SERVICES	DBA AVITA PHARMACY 1072	26800 CROWN VALLEY PKWY STE 185	MISSION VIEJO	CA	92691	04/01/2023
CHC33795-03	PHARMEDQUEST PHARMACY SERVICES	DBA AVITA PHARMACY 1072	26800 CROWN VALLEY PKWY STE 185	MISSION VIEJO	CA	92691	04/01/2023
CHC33795-01	PHARMEDQUEST PHARMACY SERVICES	DBA AVITA PHARMACY 1072	26800 CROWN VALLEY PKWY STE 185	MISSION VIEJO	CA	92691	04/01/2023
CHC33795-02	PHARMEDQUEST PHARMACY SERVICES	DBA AVITA PHARMACY 1072	26800 CROWN VALLEY PKWY STE 185	MISSION VIEJO	CA	92691	04/01/2023
CHC33795-04	PHARMEDQUEST PHARMACY SERVICES	DBA AVITA PHARMACY 1072	26800 CROWN VALLEY PKWY STE 185	MISSION VIEJO	CA	92691	04/01/2023
CHC33795-05	PHARMEDQUEST PHARMACY SERVICES	DBA AVITA PHARMACY 1072	26800 CROWN VALLEY PKWY STE 185	MISSION VIEJO	CA	92691	04/01/2023
CHC33795-09	PHARMEDQUEST PHARMACY SERVICES	DBA AVITA PHARMACY 1072	26800 CROWN VALLEY PKWY STE 185	MISSION VIEJO	CA	92691	04/01/2023
CHC33795-06	PHARMEDQUEST PHARMACY SERVICES	DBA AVITA PHARMACY 1072	26800 CROWN VALLEY PKWY STE 185	MISSION VIEJO	CA	92691	04/01/2023
CHC33795-07	PHARMEDQUEST PHARMACY SERVICES	DBA AVITA PHARMACY 1072	26800 CROWN VALLEY PKWY STE 185	MISSION VIEJO	CA	92691	04/01/2023
CHC33795-08	PHARMEDQUEST PHARMACY SERVICES	DBA AVITA PHARMACY 1072	26800 CROWN VALLEY PKWY STE 185	MISSION VIEJO	CA	92691	04/01/2023
CHC33795-08	THRIFTY PAYLESS, INC.	DBA RITE AID #6769	499 ALVARADO ST	MONTEREY	CA	93940	01/01/2022
CHC33795-01	THRIFTY PAYLESS, INC.	RITE AID #6310	602 WILLIAMS ROAD	SALINAS	CA	93905	01/01/2022
CHC33795-02	THRIFTY PAYLESS, INC.	DBA RITE AID #6769	499 ALVARADO ST	MONTEREY	CA	93940	01/01/2022
CHC33795-04	THRIFTY PAYLESS, INC.	RITE AID #6310	602 WILLIAMS ROAD	SALINAS	CA	93905	01/01/2022
CHC33795-06	THRIFTY PAYLESS, INC.	DBA RITE AID #6769	499 ALVARADO ST	MONTEREY	CA	93940	01/01/2022
CHC33795-09	THRIFTY PAYLESS, INC.	DBA RITE AID #6769	499 ALVARADO ST	MONTEREY	CA	93940	01/01/2022
CHC33795-08	THRIFTY PAYLESS, INC.	RITE AID #6310	602 WILLIAMS ROAD	SALINAS	CA	93905	01/01/2022
CHC33795-05	THRIFTY PAYLESS, INC.	DBA RITE AID #6769	499 ALVARADO ST	MONTEREY	CA	93940	01/01/2022
CHC33795-03	THRIFTY PAYLESS, INC.	RITE AID #6310	602 WILLIAMS ROAD	SALINAS	CA	93905	01/01/2022
CHC33795-02	THRIFTY PAYLESS, INC.	RITE AID #6310	602 WILLIAMS ROAD	SALINAS	CA	93905	01/01/2022
CHC33795-00	THRIFTY PAYLESS, INC.	DBA RITE AID #6769	499 ALVARADO ST	MONTEREY	CA	93940	01/01/2022
CHC33795-00	THRIFTY PAYLESS, INC.	RITE AID #6310	602 WILLIAMS ROAD	SALINAS	CA	93905	01/01/2022	02/01/2023
CHC33795-07	THRIFTY PAYLESS, INC.	DBA RITE AID #6769	499 ALVARADO ST	MONTEREY	CA	93940	01/01/2022
CHC33795-07	THRIFTY PAYLESS, INC.	RITE AID #6310	602 WILLIAMS ROAD	SALINAS	CA	93905	01/01/2022
CHC33795-09	THRIFTY PAYLESS, INC.	RITE AID #6310	602 WILLIAMS ROAD	SALINAS	CA	93905	01/01/2022
CHC33795-04	THRIFTY PAYLESS, INC.	DBA RITE AID #6769	499 ALVARADO ST	MONTEREY	CA	93940	01/01/2022
CHC33795-01	THRIFTY PAYLESS, INC.	DBA RITE AID #6769	499 ALVARADO ST	MONTEREY	CA	93940	01/01/2022
CHC33795-06	THRIFTY PAYLESS, INC.	RITE AID #6310	602 WILLIAMS ROAD	SALINAS	CA	93905	01/01/2022
CHC33795-03	THRIFTY PAYLESS, INC.	DBA RITE AID #6769	499 ALVARADO ST	MONTEREY	CA	93940	01/01/2022
CHC33795-05	THRIFTY PAYLESS, INC.	RITE AID #6310	602 WILLIAMS ROAD	SALINAS	CA	93905	01/01/2022
CHC33795-05	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	01/01/2022
CHC33795-04	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	01/01/2022
CHC33795-00	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	01/01/2022
CHC33795-08	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	01/01/2022
CHC33795-02	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	01/01/2022
CHC33795-03	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	01/01/2022
CHC33795-06	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	01/01/2022
CHC33795-01	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	01/01/2022
CHC33795-09	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	01/01/2022
CHC33795-07	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	01/01/2022
CHC33795-02	WAL-MART PHARMACY 10-2458	1800 N MAIN STREET		SALINAS	CA	93906	01/01/2022
CHC33795-07	WAL-MART PHARMACY 10-2458	1800 N MAIN STREET		SALINAS	CA	93906	01/01/2022
CHC33795-00	WAL-MART PHARMACY 10-2458	1800 N MAIN STREET		SALINAS	CA	93906	01/01/2022
CHC33795-06	WAL-MART PHARMACY 10-2458	1800 N MAIN STREET		SALINAS	CA	93906	01/01/2022
CHC33795-05	WAL-MART PHARMACY 10-2458	1800 N MAIN STREET		SALINAS	CA	93906	01/01/2022
CHC33795-09	WAL-MART PHARMACY 10-2458	1800 N MAIN STREET		SALINAS	CA	93906	01/01/2022
CHC33795-03	WAL-MART PHARMACY 10-2458	1800 N MAIN STREET		SALINAS	CA	93906	01/01/2022
CHC33795-04	WAL-MART PHARMACY 10-2458	1800 N MAIN STREET		SALINAS	CA	93906	01/01/2022
CHC33795-08	WAL-MART PHARMACY 10-2458	1800 N MAIN STREET		SALINAS	CA	93906	01/01/2022
CHC33795-01	WAL-MART PHARMACY 10-2458	1800 N MAIN STREET		SALINAS	CA	93906	01/01/2022
CHC33795-06	WAL-MART PHARMACY 10-5751	1375 N. DAVIS ROAD		SALINAS	CA	93907	01/01/2022
CHC33795-07	WAL-MART PHARMACY 10-5751	1375 N. DAVIS ROAD		SALINAS	CA	93907	01/01/2022
CHC33795-03	WAL-MART PHARMACY 10-5751	1375 N. DAVIS ROAD		SALINAS	CA	93907	01/01/2022
CHC33795-08	WAL-MART PHARMACY 10-5751	1375 N. DAVIS ROAD		SALINAS	CA	93907	01/01/2022
CHC33795-04	WAL-MART PHARMACY 10-5751	1375 N. DAVIS ROAD		SALINAS	CA	93907	01/01/2022
CHC33795-05	WAL-MART PHARMACY 10-5751	1375 N. DAVIS ROAD		SALINAS	CA	93907	01/01/2022
CHC33795-01	WAL-MART PHARMACY 10-5751	1375 N. DAVIS ROAD		SALINAS	CA	93907	01/01/2022
CHC33795-09	WAL-MART PHARMACY 10-5751	1375 N. DAVIS ROAD		SALINAS	CA	93907	01/01/2022
CHC33795-00	WAL-MART PHARMACY 10-5751	1375 N. DAVIS ROAD		SALINAS	CA	93907	01/01/2022
CHC33795-02	WAL-MART PHARMACY 10-5751	1375 N. DAVIS ROAD		SALINAS	CA	93907	01/01/2022
CHC33795-00	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	01/01/2022
CHC33795-01	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	01/01/2022
CHC33795-08	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	01/01/2022
CHC33795-05	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	01/01/2022
CHC33795-09	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	01/01/2022
CHC33795-06	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	01/01/2022
CHC33795-02	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	01/01/2022
CHC33795-07	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	01/01/2022
CHC33795-03	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	01/01/2022
CHC33795-04	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	01/01/2022
CHC33795-02	WALGREEN CO.	DBA: WALGREENS # 02606	1532 N MAIN ST	SALINAS	CA	93906	01/01/2020
CHC33795-01	WALGREEN CO.	DBA: WALGREENS # 02606	1532 N MAIN ST	SALINAS	CA	93906	01/01/2020
CHC33795-04	WALGREEN CO.	DBA: WALGREENS # 02606	1532 N MAIN ST	SALINAS	CA	93906	01/01/2020
CHC33795-04	WALGREEN CO.	DBA: WALGREENS # 07081	416 ALVARADO ST	MONTEREY	CA	93940	01/01/2020
CHC33795-08	WALGREEN CO.	DBA: WALGREENS # 04997	226 RESERVATION RD.	MARINA	CA	93933	01/01/2020
CHC33795-00	WALGREEN CO.	DBA: WALGREENS # 02867	1055 FREMONT BLVD	SEASIDE	CA	93955	01/01/2020
CHC33795-02	WALGREEN CO.	DBA: WALGREENS # 03446	575 N SANBORN RD	SALINAS	CA	93905	01/01/2020
CHC33795-03	WALGREEN CO.	DBA: WALGREENS # 07081	416 ALVARADO ST	MONTEREY	CA	93940	01/01/2020
CHC33795-05	WALGREEN CO.	DBA: WALGREENS # 03446	575 N SANBORN RD	SALINAS	CA	93905	01/01/2020
CHC33795-08	WALGREEN CO.	DBA: WALGREENS # 07081	416 ALVARADO ST	MONTEREY	CA	93940	01/01/2020
CHC33795-04	WALGREEN CO.	DBA: WALGREENS # 03446	575 N SANBORN RD	SALINAS	CA	93905	01/01/2020
CHC33795-03	WALGREEN CO.	DBA: WALGREENS # 04997	226 RESERVATION RD.	MARINA	CA	93933	01/01/2020
CHC33795-07	WALGREEN CO.	DBA: WALGREENS # 02867	1055 FREMONT BLVD	SEASIDE	CA	93955	01/01/2020
CHC33795-06	WALGREEN CO.	DBA: WALGREENS # 03446	575 N SANBORN RD	SALINAS	CA	93905	01/01/2020
CHC33795-01	WALGREEN CO.	DBA: WALGREENS # 04997	226 RESERVATION RD.	MARINA	CA	93933	01/01/2020
CHC33795-00	WALGREEN CO.	DBA: WALGREENS # 07081	416 ALVARADO ST	MONTEREY	CA	93940	01/01/2020
CHC33795-07	WALGREEN CO.	DBA: WALGREENS # 02606	1532 N MAIN ST	SALINAS	CA	93906	01/01/2020
CHC33795-08	WALGREEN CO.	DBA: WALGREENS # 03446	575 N SANBORN RD	SALINAS	CA	93905	01/01/2020
CHC33795-00	WALGREEN CO.	DBA: WALGREENS # 03446	575 N SANBORN RD	SALINAS	CA	93905	01/01/2020
CHC33795-05	WALGREEN CO.	DBA: WALGREENS # 04997	226 RESERVATION RD.	MARINA	CA	93933	01/01/2020
CHC33795-06	WALGREEN CO.	DBA: WALGREENS # 02606	1532 N MAIN ST	SALINAS	CA	93906	01/01/2020
CHC33795-07	WALGREEN CO.	DBA: WALGREENS # 03446	575 N SANBORN RD	SALINAS	CA	93905	01/01/2020
CHC33795-02	WALGREEN CO.	DBA: WALGREENS # 07081	416 ALVARADO ST	MONTEREY	CA	93940	01/01/2020
CHC33795-06	WALGREEN CO.	DBA: WALGREENS # 02867	1055 FREMONT BLVD	SEASIDE	CA	93955	01/01/2020
CHC33795-00	WALGREEN CO.	DBA: WALGREENS # 02606	1532 N MAIN ST	SALINAS	CA	93906	01/01/2020
CHC33795-07	WALGREEN CO.	DBA: WALGREENS # 07081	416 ALVARADO ST	MONTEREY	CA	93940	01/01/2020
CHC33795-04	WALGREEN CO.	DBA: WALGREENS # 02867	1055 FREMONT BLVD	SEASIDE	CA	93955	01/01/2020
CHC33795-02	WALGREEN CO.	DBA: WALGREENS # 04997	226 RESERVATION RD.	MARINA	CA	93933	01/01/2020
CHC33795-00	WALGREEN CO.	DBA: WALGREENS # 04997	226 RESERVATION RD.	MARINA	CA	93933	01/01/2020
CHC33795-06	WALGREEN CO.	DBA: WALGREENS # 07081	416 ALVARADO ST	MONTEREY	CA	93940	01/01/2020
CHC33795-03	WALGREEN CO.	DBA: WALGREENS # 02606	1532 N MAIN ST	SALINAS	CA	93906	01/01/2020
CHC33795-08	WALGREEN CO.	DBA: WALGREENS # 02606	1532 N MAIN ST	SALINAS	CA	93906	01/01/2020
CHC33795-02	WALGREEN CO.	DBA: WALGREENS # 02867	1055 FREMONT BLVD	SEASIDE	CA	93955	01/01/2020
CHC33795-04	WALGREEN CO.	DBA: WALGREENS # 04997	226 RESERVATION RD.	MARINA	CA	93933	01/01/2020
CHC33795-06	WALGREEN CO.	DBA: WALGREENS # 04997	226 RESERVATION RD.	MARINA	CA	93933	01/01/2020
CHC33795-03	WALGREEN CO.	DBA: WALGREENS # 03446	575 N SANBORN RD	SALINAS	CA	93905	01/01/2020
CHC33795-05	WALGREEN CO.	DBA: WALGREENS # 07081	416 ALVARADO ST	MONTEREY	CA	93940	01/01/2020
CHC33795-05	WALGREEN CO.	DBA: WALGREENS # 02606	1532 N MAIN ST	SALINAS	CA	93906	01/01/2020
CHC33795-01	WALGREEN CO.	DBA: WALGREENS # 02867	1055 FREMONT BLVD	SEASIDE	CA	93955	01/01/2020
CHC33795-07	WALGREEN CO.	DBA: WALGREENS # 04997	226 RESERVATION RD.	MARINA	CA	93933	01/01/2020
CHC33795-01	WALGREEN CO.	DBA: WALGREENS # 07081	416 ALVARADO ST	MONTEREY	CA	93940	01/01/2020
CHC33795-01	WALGREEN CO.	DBA: WALGREENS # 03446	575 N SANBORN RD	SALINAS	CA	93905	01/01/2020
CHC33795-05	WALGREEN CO.	DBA: WALGREENS # 02867	1055 FREMONT BLVD	SEASIDE	CA	93955	01/01/2020
CHC33795-03	WALGREEN CO.	DBA: WALGREENS # 02867	1055 FREMONT BLVD	SEASIDE	CA	93955	01/01/2020
CHC33795-08	WALGREEN CO.	DBA: WALGREENS # 02867	1055 FREMONT BLVD	SEASIDE	CA	93955	01/01/2020
CHC33795-09	WALGREEN CO.	DBA: WALGREENS # 02867	1055 FREMONT BLVD	SEASIDE	CA	93955	04/01/2020
CHC33795-09	WALGREEN CO.	DBA: WALGREENS # 04997	226 RESERVATION RD.	MARINA	CA	93933	04/01/2020
CHC33795-09	WALGREEN CO.	DBA: WALGREENS # 02606	1532 N MAIN ST	SALINAS	CA	93906	04/01/2020
CHC33795-09	WALGREEN CO.	DBA: WALGREENS # 03446	575 N SANBORN RD	SALINAS	CA	93905	04/01/2020
CHC33795-09	WALGREEN CO.	DBA: WALGREENS # 07081	416 ALVARADO ST	MONTEREY	CA	93940	04/01/2020
CHC33795-05	WALMART PHARMACY #10-4488	150 BEACH RD		MARINA	CA	93933	01/01/2022
CHC33795-01	WALMART PHARMACY #10-4488	150 BEACH RD		MARINA	CA	93933	01/01/2022
CHC33795-04	WALMART PHARMACY #10-4488	150 BEACH RD		MARINA	CA	93933	01/01/2022
CHC33795-03	WALMART PHARMACY #10-4488	150 BEACH RD		MARINA	CA	93933	01/01/2022
CHC33795-00	WALMART PHARMACY #10-4488	150 BEACH RD		MARINA	CA	93933	01/01/2022
CHC33795-07	WALMART PHARMACY #10-4488	150 BEACH RD		MARINA	CA	93933	01/01/2022
CHC33795-08	WALMART PHARMACY #10-4488	150 BEACH RD		MARINA	CA	93933	01/01/2022
CHC33795-06	WALMART PHARMACY #10-4488	150 BEACH RD		MARINA	CA	93933	01/01/2022
CHC33795-02	WALMART PHARMACY #10-4488	150 BEACH RD		MARINA	CA	93933	01/01/2022
CHC33795-09	WALMART PHARMACY #10-4488	150 BEACH RD		MARINA	CA	93933	01/01/2022
CHC33795-02	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	04/01/2023
CHC33795-01	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	04/01/2023
CHC33795-03	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	04/01/2023
CHC33795-04	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	04/01/2023
CHC33795-00	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	04/01/2023
CHC33795-05	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	04/01/2023
CHC33795-08	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	04/01/2023
CHC33795-06	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	04/01/2023
CHC33795-07	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	04/01/2023
CHC33795-09	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	04/01/2023
CHC33795-06	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024
CHC33795-07	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024
CHC33795-00	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024
CHC33795-01	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024
CHC33795-09	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024
CHC33795-02	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024
CHC33795-04	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024
CHC33795-08	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024
CHC33795-03	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024
CHC33795-05	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Signed By	Insert	New Registration		Shinde, Prashant Bureau Chief Monterey County Health Department 8317961370	4/24/2025 2:04 PM
Details	340B ID	Update	New Registration		CHC33795-11	4/24/2025 2:04 PM
Dates	Participating Approval Date	Update	New Registration		4/24/2025 2:04:34 PM	4/24/2025 2:04 PM
Details	State	Update	New Registration	Pending	Approved	4/24/2025 2:04 PM
Dates	Signed By Date	Update	New Registration		4/9/2025 1:08:38 PM	4/24/2025 2:04 PM
Dates	Start Date	Update	New Registration		7/1/2025 12:00:00 AM	4/24/2025 2:04 PM
Addresses	Main Address	Insert	New Registration		331 N Sanborn Rd Salinas, CA 93905-2220	4/4/2025 5:25 PM
Addresses	Billing Address	Insert	New Registration		County of Monterey - Clinic Services Finance/Billing 1441 Schilling Place, South Building, FL 1 Salinas, CA 93901	4/4/2025 5:25 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1194853861	4/4/2025 5:25 PM
Medicaid Billing	NPI: State	Insert	New Registration		CA	4/4/2025 5:25 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1699726786	4/4/2025 5:25 PM
Medicaid Billing	NPI: State	Insert	New Registration		CA	4/4/2025 5:25 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1508629171	4/4/2025 5:25 PM
Medicaid Billing	NPI: State	Insert	New Registration		CA	4/4/2025 5:25 PM
Contacts	Authorizing Official	Insert	New Registration		Shinde, Prashant Bureau Chief Monterey County Health Department 8317961370	4/4/2025 5:25 PM
Contacts	Primary Contact	Insert	New Registration		Segovia, Prisca Management Analyst Monterey County Health Department 8317554939	4/4/2025 5:25 PM
Details	Assistance Received From Date	Insert	New Registration			4/4/2025 5:25 PM
Details	Assistance Received To Date	Insert	New Registration			4/4/2025 5:25 PM
Details	Last Recertification Date	Insert	New Registration			4/4/2025 5:25 PM
Details	Grant Number	Insert	New Registration		H80CS33795	4/4/2025 5:25 PM
Details	340B ID	Insert	New Registration			4/4/2025 5:25 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			4/4/2025 5:25 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			4/4/2025 5:25 PM
Details	Medicare Provider Number	Insert	New Registration			4/4/2025 5:25 PM
Details	Entity Name	Insert	New Registration		COUNTY OF MONTEREY	4/4/2025 5:25 PM
Details	NOFO Number	Insert	New Registration			4/4/2025 5:25 PM
Details	Program Code	Insert	New Registration		CH	4/4/2025 5:25 PM
Details	Entity Subname	Insert	New Registration		Alisal Integrated Health Center	4/4/2025 5:25 PM
Dates	Participating Approval Date	Insert	New Registration			4/4/2025 5:25 PM
Details	State	Insert	New Registration		Pending	4/4/2025 5:25 PM
Dates	Registration Date	Insert	New Registration		4/4/2025 5:25:06 PM	4/4/2025 5:25 PM
Dates	Signed By Date	Insert	New Registration			4/4/2025 5:25 PM
Dates	Start Date	Insert	New Registration			4/4/2025 5:25 PM
Terminations	Termination Comments	Insert	New Registration			4/4/2025 5:25 PM
Terminations	Termination Date	Insert	New Registration			4/4/2025 5:25 PM
Terminations	Termination Effective Date	Insert	New Registration			4/4/2025 5:25 PM
Terminations	Termination Reason	Insert	New Registration			4/4/2025 5:25 PM

340B Drug Pricing Program Database