340B Drug Pricing Program Database
LONGS DRUG STORES CALIFORNIA, L.L.C.
CH09312BV FAMILY HEALTH CENTERS OF SAN DIEGO, INC. - information as of 6/16/2025 1:34:12 AM
Covered Entity Details
Entity Name
FAMILY HEALTH CENTERS OF SAN DIEGO, INC.
Subdivision Name
City Heights Family Health Center
Type
HRSA-Funded Health Center
340B ID
CH09312BV
Entity Address
5454 El Cajon Blvd.
San Diego, CA 92115-3621
Grant Number
H80CS00224
Participating Start Date
1/1/2011
Last Recertification Date
3/1/2025
Pharmacy Details
Pharmacy Name
LONGS DRUG STORES CALIFORNIA, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09167
790 JAMACHA RD
EL CAJON, CA 92019
Pharmacy Comments
Contract Details
Approval Date
10/14/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ricardo Roman, CFO
(619) 906-4603
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/14/2019
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session