Contract Pharmacy Details

LONGS DRUG STORES CALIFORNIA, L.L.C.
CHC33795-09 Monterey, County Of

Covered Entity Details

Entity Name

Monterey, County Of

Subdivision Name

County of Monterey - NIDO

Type

HRSA-Funded Health Center

340B ID

CHC33795-09

Entity Address

1441 Constitution Blvd. BLDG 760
Salinas, CA 93906-3100

Grant Number

H80CS33795

Participating Start Date

4/1/2020

Last Recertification Date

3/4/2025

Pharmacy Details

Pharmacy Name

LONGS DRUG STORES CALIFORNIA, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 03050
268 RESERVATION RD
MARINA, CA 93933

Pharmacy Comments

Contract Details

Approval Date

2/28/2020

Contract Begin Date

4/1/2020

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Sheena Morales, Temporary Project Director, Clinic Services Bureau
(831) 796-1393

Contract Pharmacy Representative

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

Signed By Date

1/14/2020

340B Drug Pricing Program Database