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LONGS DRUG STORES CALIFORNIA, L.L.C.
FQHCLA263A MAYVIEW COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
MAYVIEW COMMUNITY HEALTH CENTER, INC.
Subdivision Name
MAYVIEW COMMUNITY HEALTH CENTER - MV
Type
Health Center Program Look-Alike
340B ID
FQHCLA263A
Entity Address
900 MIRAMONTE AVENUE
2ND FLOOR
MOUNTAIN VIEW, CA 94040-2457
Grant Number
LALCS00001
Participating Start Date
7/1/2010
Last Recertification Date
1/27/2020
Entity Termination Date
7/1/2020
Pharmacy Details
Pharmacy Name
LONGS DRUG STORES CALIFORNIA, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09793
2700 HOMESTEAD RD
SANTA CLARA, CA 95051
Pharmacy Comments
Contract Details
Approval Date
10/14/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Kenneth Graham, CEO
(650) 475-1508
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/14/2019
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