340B Drug Pricing Program Database
LONGS DRUG STORES CALIFORNIA, L.L.C.
RRC120022-00 STRAUB CLINIC & HOSPITAL - information as of 4/25/2025 9:45:23 PM
Covered Entity Details
Entity Name
STRAUB CLINIC & HOSPITAL
Subdivision Name
Type
Rural Referral Center
340B ID
RRC120022-00
Entity Address
888 S. KING STREET
HONOLULU, HI 96813
Medicare Provider Number
120022
Participating Start Date
1/1/2024
Last Recertification Date
8/21/2024
Entity Termination Date
4/1/2025
Pharmacy Details
Pharmacy Name
LONGS DRUG STORES CALIFORNIA, L.L.C.
Pharmacy Address
LONGS DRUGS # 17720
1450 ALA MOANA BLVD. STE 2401
HONOLULU, HI 96814
Pharmacy Comments
Contract Details
Approval Date
10/25/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
David E Stumbaugh, VP, Supply Chain Management and Pharmacy
(808) 522-6946
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/13/2023
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