Contract Pharmacy Details

LONGS DRUG STORES CALIFORNIA, L.L.C.
CH09848AD COUNTY OF VENTURA

Covered Entity Details

Entity Name

COUNTY OF VENTURA

Subdivision Name

Magnolia West

Type

HRSA-Funded Health Center

340B ID

CH09848AD

Entity Address

2220 E Gonzales Rd Suite 120 A/B
Oxnard, CA 93036-3707

Grant Number

H80CS00247

Participating Start Date

4/1/2014

Last Recertification Date

3/4/2025

Pharmacy Details

Pharmacy Name

LONGS DRUG STORES CALIFORNIA, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 09151
600 W MAIN ST
SANTA PAULA, CA 93060

Pharmacy Comments

01/27/2012 changed CP name (was LONGS DRUGS #151)

Contract Details

Approval Date

4/14/2020

Contract Begin Date

7/1/2020

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Theresa Cho, Chief Executive Officer, Ambulatory Care
(805) 652-6228

Contract Pharmacy Representative

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

Signed By Date

4/14/2020

340B Drug Pricing Program Database