340B Drug Pricing Program Database
LONGS DRUG STORES CALIFORNIA, L.L.C.
HV00791 TARZANA TREATMENT CENTERS INC - information as of 6/22/2025 12:17:16 AM
Covered Entity Details
Entity Name
TARZANA TREATMENT CENTERS INC
Subdivision Name
Type
Ryan White Part C
340B ID
HV00791
Entity Address
18646 OXNARD STREET
TARZANA, CA 91356
Grant Number
H76HA00791
Participating Start Date
10/1/2010
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
LONGS DRUG STORES CALIFORNIA, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09670
18441 VENTURA BLVD
TARZANA, CA 91356
Pharmacy Comments
Contract Details
Approval Date
7/15/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ALBERT M. SENELLA, PRESIDENT AND CEO
(818) 654-3815
Contract Pharmacy Representative
Wellpartner
Vittoria Porter, Sr. Account Manager
(480) 459-1262
Signed By Date
7/15/2021
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