Contract Pharmacy Details

LONGS DRUG STORES CALIFORNIA, L.L.C.
STD333341 CAN Community Health, Inc.

Covered Entity Details

Entity Name

CAN Community Health, Inc.

Subdivision Name

Dixie Hwy

Type

Sexually Transmitted Diseases

340B ID

STD333341

Entity Address

5333 N. Dixie Hwy
Suite 110
Fort Lauderdale, FL 33334

Grant Number

1 NH25PS005131-01-00

Participating Start Date

1/1/2018

Last Recertification Date

5/27/2024

Pharmacy Details

Pharmacy Name

LONGS DRUG STORES CALIFORNIA, L.L.C.

Pharmacy Address

DBA: LONGS DRUGS # 09813
98 1005 MOANALUA RD
#400
AIEA, HI 96701

Pharmacy Comments

Contract Details

Approval Date

1/19/2022

Contract Begin Date

4/1/2022

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/15/2022
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Rishi Patel, President & CEO
(941) 300-4440 Ext: 11127

Contract Pharmacy Representative

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

Signed By Date

1/19/2022

340B Drug Pricing Program Database