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LONGS DRUG STORES CALIFORNIA, L.L.C.
CHC33795-00 Monterey, County Of
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Covered Entity Details
Entity Name
Monterey, County Of
Subdivision Name
County of Monterey - Laurel Pediatric Clinic
Type
HRSA-Funded Health Center
340B ID
CHC33795-00
Entity Address
1441 Constitution Blvd, Bldg. #200, Floor STE 101
Salinas, CA 93906-3100
Grant Number
H80CS33795
Participating Start Date
1/1/2020
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
LONGS DRUG STORES CALIFORNIA, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09506
1140 S MAIN ST
SALINAS, CA 93901
Pharmacy Comments
Contract Details
Approval Date
11/19/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Julia C. Edgcomb, Clinic Services Bureau Chief/Director
(831) 796-1386
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
11/19/2019
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