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LONGS DRUG STORES CALIFORNIA, L.L.C.
CH09056W United Health Centers of The San Joaquin Valley
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Covered Entity Details
Entity Name
United Health Centers of The San Joaquin Valley
Subdivision Name
United Health Centers - Parlier Manning
Type
HRSA-Funded Health Center
340B ID
CH09056W
Entity Address
429 E Manning Ave
Parlier, CA 93648-2600
Grant Number
H80CS00137
Participating Start Date
7/6/2020
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
LONGS DRUG STORES CALIFORNIA, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09159
1109 COUNTRY CLUB DR
MADERA, CA 93638
Pharmacy Comments
Contract Details
Approval Date
2/7/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/10/2022
Agreement registered in error
Contacts
Covered Entity Signing Official
Navjot Singh, Contracting & Managed Care Officer
(559) 646-6618 Ext: 0039
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
2/7/2022
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