340B Drug Pricing Program Database

Pharmacy Name

LONGS DRUG STORES CALIFORNIA, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 09490
6450 PONY EXPRESS TRL
POLLOCK PINES, CA 95726

Pharmacy Comments

Approval Date

10/11/2018

Contract Begin Date

1/1/2019

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

James Whipple, Chief Executive Officer
(530) 626-2601

Contract Pharmacy Representative

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

Signed By Date

10/11/2018