340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

LONGS DRUG STORES CALIFORNIA, L.L.C.
FQHC638480 MACT Health Board, Inc.

Covered Entity Details

MACT Medical, Sonora
Tribal Contract/Compact with IHS (P.L. 93-638)
FQHC638480
13975 MONO WAY
SUITE G,H, I, J
SONORA, CA 95370
1/1/2003
2/21/2024


Pharmacy Details

DBA: CVS/PHARMACY # 09935
40044 HIGHWAY 49
OAKHURST, CA 93644

Contract Details

10/14/2019
1/1/2020


Contacts


John Shawver Alexander, Executive Director
(209) 754-6258



CVS Health
Christian J Reid, Sr. Director, 340B
(401) 770-2118
10/14/2019