Contract Pharmacy Details

LONGS DRUG STORES CALIFORNIA, L.L.C.
CH096010 KALIHI-PALAMA HEALTH CENTER

Covered Entity Details

Entity Name

KALIHI-PALAMA HEALTH CENTER

Subdivision Name

Type

HRSA-Funded Health Center

340B ID

CH096010

Entity Address

915 N KING ST
HONOLULU, HI 96817

Grant Number

H80CS00814

Participating Start Date

10/1/2001

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

LONGS DRUG STORES CALIFORNIA, L.L.C.

Pharmacy Address

DBA: LONGS DRUGS # 09182
1088 BISHOP ST, STE 113
HONOLULU, HI 96813

Pharmacy Comments

Contract Details

Approval Date

4/23/2014

Contract Begin Date

7/1/2014

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

12/23/2019
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

EMMANUEL KINTU, CEO/EXECUTIVE DIRECTOR
(808) 791-6315

Contract Pharmacy Representative

CVS Caremark
Anthony Gratto, 340B Vendor Manager
(401) 770-7298

Signed By Date

4/23/2014

340B Drug Pricing Program Database