340B Drug Pricing Program Database

Pharmacy Name

LONGS DRUG STORES CALIFORNIA, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 09957
344 THOMAS L. BERKLEY WAY
OAKLAND, CA 94612

Pharmacy Comments

Approval Date

10/11/2018

Contract Begin Date

1/1/2019

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/14/2024
Pharmacy closed

Covered Entity Signing Official

James McManus, Chief Financial Officer
(415) 925-2095

Contract Pharmacy Representative

Marin General Hospital
Therese Helser, Director, Pharmacy
(415) 925-7867

Signed By Date

10/11/2018