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LONGS DRUG STORES CALIFORNIA, L.L.C.
CH091030 ASIAN HEALTH SERVICES
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Covered Entity Details
Entity Name
ASIAN HEALTH SERVICES
Subdivision Name
ASIAN HEALTH SERVICES
Type
HRSA-Funded Health Center
340B ID
CH091030
Entity Address
818 Webster St
Oakland, CA 94607-4220
Grant Number
H80CS00773
Participating Start Date
4/1/1996
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
LONGS DRUG STORES CALIFORNIA, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09957
344 THOMAS L. BERKLEY WAY
OAKLAND, CA 94612
Pharmacy Comments
Contract Details
Approval Date
1/14/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/4/2022
Pharmacy closed
Contacts
Covered Entity Signing Official
SHERRY HIROTA, CEO
(510) 735-3111
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/14/2020
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