340B Drug Pricing Program Database

Pharmacy Name

LONGS DRUG STORES CALIFORNIA, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 09325
11941 SAN VICENTE BLVD
LOS ANGELES, CA 90049

Pharmacy Comments

Approval Date

7/9/2018

Contract Begin Date

10/1/2018

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Paul Staton, CFO
(310) 267-9308

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

7/9/2018