Contract Pharmacy Details

LONGS DRUG STORES CALIFORNIA, L.L.C.
CHC33795-02 Monterey, County Of

Covered Entity Details

Entity Name

Monterey, County Of

Subdivision Name

County of Monterey - Laurel Vista

Type

HRSA-Funded Health Center

340B ID

CHC33795-02

Entity Address

1441 Constitution Blvd. Bldg. 400 STE 301
Salinas, CA 93906-3134

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

340B Drug Pricing Program Database