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LONGS DRUG STORES CALIFORNIA, L.L.C.
CH09035B WEST COUNTY HEALTH CENTERS, INC.
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Covered Entity Details
Entity Name
WEST COUNTY HEALTH CENTERS, INC.
Subdivision Name
OCCIDENTAL AREA HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH09035B
Entity Address
3802 Main Street
OCCIDENTAL, CA 95465
Grant Number
H80CS00242
Participating Start Date
7/1/2003
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
LONGS DRUG STORES CALIFORNIA, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09872
6877 SEBASTOPOL AVENUE
SEBASTOPOL, CA 95472
Pharmacy Comments
Contract Details
Approval Date
6/14/2006
Contract Begin Date
6/14/2006
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/14/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
6/7/2006
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