340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

LONGS DRUG STORES CALIFORNIA, L.L.C.
CH098790 SANTA ROSA COMMUNITY HEALTH CENTERS

Covered Entity Details

LOMBARDI CAMPUS
HRSA-Funded Health Center
CH098790
751 LOMBARDI COURT STE B
SANTA ROSA, CA 95407
H80CS00259
4/1/2003
2/26/2024


Pharmacy Details

DBA: CVS/PHARMACY # 09159
1109 COUNTRY CLUB DR
MADERA, CA 93638

Contract Details

10/11/2021
1/1/2022

10/16/2023
Business decision by covered entity and/or pharmacy


Contacts


Naomi Fuchs, CEO
(707) 303-3600 Ext: 3111



CVS Health
Christian J Reid, Sr. Director, 340B
(401) 770-2118
10/11/2021