340B Drug Pricing Program Database
LONGS DRUG STORES CALIFORNIA, L.L.C.
CH09848AC COUNTY OF VENTURA - information as of 4/28/2025 12:47:58 AM
Covered Entity Details
Entity Name
COUNTY OF VENTURA
Subdivision Name
Las Islas Mobile Clinic
Type
HRSA-Funded Health Center
340B ID
CH09848AC
Entity Address
325 W. Channel Islands Blvd
Oxnard, CA 93033
Grant Number
H80CS00247
Participating Start Date
4/1/2014
Last Recertification Date
3/7/2025
Pharmacy Details
Pharmacy Name
LONGS DRUG STORES CALIFORNIA, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09530
155 W LOS ANGELES AVE
MOORPARK, CA 93021
Pharmacy Comments
Contract Details
Approval Date
4/14/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Theresa Cho, Chief Executive Officer, Ambulatory Care
(805) 652-6228
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/14/2020
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