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CAREMARK, L.L.C.
STD90814 One in Long Beach Inc
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Covered Entity Details
Entity Name
One in Long Beach Inc
Subdivision Name
The LGBTQ Center of Long Beach
Type
Sexually Transmitted Diseases
340B ID
STD90814
Entity Address
2017 East 4th Street
Long Beach, CA 90814-1001
Grant Number
1H25PS005127
Participating Start Date
10/1/2017
Last Recertification Date
5/14/2024
Pharmacy Details
Pharmacy Name
CAREMARK, L.L.C.
Pharmacy Address
DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
7251 S. EASTERN AVE.
LAS VEGAS, NV 89119
Pharmacy Comments
Contract Details
Approval Date
4/7/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Andrew Dorado, Interim Executive Director
(562) 434-4455 Ext: 232
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/7/2021
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