Contract Pharmacy Details

LONGS DRUG STORES CALIFORNIA, L.L.C.
CH060940 ARCARE

Covered Entity Details

Entity Name

ARCARE

Subdivision Name

ARcare Corporate Office

Type

HRSA-Funded Health Center

340B ID

CH060940

Entity Address

117 S 2nd St
Augusta, AR 72006-2309

Grant Number

H80CS00207

Participating Start Date

4/1/2006

Last Recertification Date

2/18/2025

Pharmacy Details

Pharmacy Name

LONGS DRUG STORES CALIFORNIA, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 09959
1560 W VALLEY PKWY
ESCONDIDO, CA 92029

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

4/1/2025
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

TALMAGE J. WHITEHEAD, President/CFO
(870) 347-3414

Contract Pharmacy Representative

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

Signed By Date

10/13/2020

340B Drug Pricing Program Database