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LONGS DRUG STORES CALIFORNIA, L.L.C.
STD94114 San Francisco AIDS Foundation
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Covered Entity Details
Entity Name
San Francisco AIDS Foundation
Subdivision Name
Strut - Sexual Health Services
Type
Sexually Transmitted Diseases
340B ID
STD94114
Entity Address
470 Castro Street
San Francisco, CA 94114
Grant Number
NH25PS005141-05-08
Participating Start Date
10/1/2011
Last Recertification Date
5/22/2024
Pharmacy Details
Pharmacy Name
LONGS DRUG STORES CALIFORNIA, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 07955
2025 VAN NESS AVE
SAN FRANCISCO, CA 94109
Pharmacy Comments
Contract Details
Approval Date
10/13/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/7/2022
Pharmacy closed
Contacts
Covered Entity Signing Official
Chris Damon, Controller
(415) 487-3043
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/13/2020
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