Contract Pharmacy Details

LONGS DRUG STORES CALIFORNIA, L.L.C.
CHC26623-00 OPERATION SAMAHAN, INC.

Covered Entity Details

Entity Name

OPERATION SAMAHAN, INC.

Subdivision Name

OPSAM HEALTH: 2835 Highland

Type

HRSA-Funded Health Center

340B ID

CHC26623-00

Entity Address

2835 Highland Ave
National City, CA 91950-7412

Grant Number

H80CS26623

Participating Start Date

4/1/2014

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

LONGS DRUG STORES CALIFORNIA, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 09900
2690 MOUNT VERNON AVE
BAKERSFIELD, CA 93306

Pharmacy Comments

Contract Details

Approval Date

4/13/2020

Contract Begin Date

7/1/2020

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Elidoro Primero, Executive Director
(844) 200-2426 Ext: 1071

Contract Pharmacy Representative

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

Signed By Date

4/13/2020

340B Drug Pricing Program Database