Contract Pharmacy Details

LONGS DRUG STORES CALIFORNIA, L.L.C.
CH09071T COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC.

Covered Entity Details

Entity Name

COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC.

Subdivision Name

COMMUNITY HEALTH CENTERS ATASCADERO

Type

HRSA-Funded Health Center

340B ID

CH09071T

Entity Address

7512 MORRO ROAD #7516, STE 7512, 7520, 7524
ATASCADERO, CA 93422-4404

Grant Number

H80CS00621

Participating Start Date

10/1/2004

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

LONGS DRUG STORES CALIFORNIA, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 09909
8320 EL CAMINO REAL
ATASCADERO, CA 93422

Pharmacy Comments

Contract Details

Approval Date

12/4/2009

Contract Begin Date

12/4/2009

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

6/8/2020
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

RONALD E. CASTLE, CEO
(805) 459-1835

Contract Pharmacy Representative

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

Signed By Date

11/28/2009

340B Drug Pricing Program Database