Contract Pharmacy Details

LONGS DRUG STORES CALIFORNIA, L.L.C.
CH091100 VALLEY HEALTH TEAM, INC.

Covered Entity Details

Entity Name

VALLEY HEALTH TEAM, INC.

Subdivision Name

SAN JOAQUIN HEALTH CENTER

Type

HRSA-Funded Health Center

340B ID

CH091100

Entity Address

21890 COLORADO AVENUE
SAN JOAQUIN, CA 93660-0737

Grant Number

H80CS00525

Participating Start Date

7/1/1999

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

LONGS DRUG STORES CALIFORNIA, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 09801
10 SHAW AVE
CLOVIS, CA 93612

Pharmacy Comments

Contract Details

Approval Date

10/14/2019

Contract Begin Date

1/1/2020

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Soyla Griffin, Chief Executive Officer
(559) 693-2462 Ext: 2943

Contract Pharmacy Representative

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

Signed By Date

10/14/2019

340B Drug Pricing Program Database