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LONGS DRUG STORES CALIFORNIA, L.L.C.
DSH120001 THE QUEEN'S MEDICAL CENTER
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Covered Entity Details
Entity Name
THE QUEEN'S MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH120001
Entity Address
1301 PUNCHBOWL STREET
HONOLULU, HI 96813-2499
Medicare Provider Number
120001
Participating Start Date
7/1/2002
Last Recertification Date
8/29/2024
Pharmacy Details
Pharmacy Name
LONGS DRUG STORES CALIFORNIA, L.L.C.
Pharmacy Address
DBA: LONGS DRUGS # 02406
65-1271 KAWAIHAE RD
KAMUELA, HI 96743
Pharmacy Comments
Contract Details
Approval Date
4/10/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jason Chang, Executive VP and COO
(808) 691-7988
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/10/2020
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