Contract Pharmacy Details

LONGS DRUG STORES CALIFORNIA, L.L.C.
CHC28984-00 CENTER FOR FAMILY HEALTH & EDUCATION, INC.

Covered Entity Details

Entity Name

CENTER FOR FAMILY HEALTH & EDUCATION, INC.

Subdivision Name

Center for Family Health and Education, Inc.

Type

HRSA-Funded Health Center

340B ID

CHC28984-00

Entity Address

8727 Van Nuys Blvd STE 102
Panorama City, CA 91402-2400

Grant Number

H80CS28984

Participating Start Date

4/1/2016

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

LONGS DRUG STORES CALIFORNIA, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 09971
4077 W CLINTON AVE
FRESNO, CA 93722

Pharmacy Comments

Contract Details

Approval Date

4/26/2021

Contract Begin Date

7/1/2021

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/14/2022
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Daryoush Kashani, CEO/CMO
(818) 899-5555 Ext: 110

Contract Pharmacy Representative

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

Signed By Date

4/26/2021

340B Drug Pricing Program Database