340B Drug Pricing Program Database

Pharmacy Name

LONGS DRUG STORES CALIFORNIA, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 03939
800 W HARRIS ST STE 20
EUREKA, CA 95503

Pharmacy Comments

07/30/2012 added suite

Approval Date

7/14/2021

Contract Begin Date

10/1/2021

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

9/30/2023
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

Jennifer Van Matre, Chief Financial Officer
(530) 623-5541 Ext: 3232

Contract Pharmacy Representative

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

Signed By Date

7/14/2021