340B Drug Pricing Program Database
LONGS DRUG STORES CALIFORNIA, L.L.C.
CH09365X CLINICAS DEL CAMINO REAL, INC. - information as of 6/4/2025 12:57:38 PM
Covered Entity Details
Entity Name
CLINICAS DEL CAMINO REAL, INC.
Subdivision Name
Clinicas Del Camino Real, Inc. - Newbury Park
Type
HRSA-Funded Health Center
340B ID
CH09365X
Entity Address
1000 Newbury Road STE 150
Newbury Park, CA 91320
Grant Number
H80CS00550
Participating Start Date
4/1/2008
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
LONGS DRUG STORES CALIFORNIA, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 03069
451 S REINO RD
NEWBURY PARK, CA 91320
Pharmacy Comments
Contract Details
Approval Date
7/13/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Robert Streeter, Chief Medical Officer
(805) 659-1740
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/13/2023
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