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LONGS DRUG STORES CALIFORNIA, L.L.C.
STD96793 Maui A.I.D.S. Foundation
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Covered Entity Details
Entity Name
Maui A.I.D.S. Foundation
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD96793
Entity Address
1935 Main St.
Suite 101
Wailuku, HI 96793
Grant Number
NH25PS005136
Participating Start Date
10/1/2018
Last Recertification Date
5/13/2024
Pharmacy Details
Pharmacy Name
LONGS DRUG STORES CALIFORNIA, L.L.C.
Pharmacy Address
DBA: LONGS DRUGS # 09663
70 E KAAHUMANU AVE
KAHULUI, HI 96732
Pharmacy Comments
Contract Details
Approval Date
1/6/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Chasity Cadaoas, Executive Director
(808) 242-4900
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/6/2020
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