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.
DSH050568 MADERA COMMUNITY HOSPITAL

Covered Entity Details

Disproportionate Share Hospital
DSH050568
1250 E ALMOND AVENUE
MADERA, CA 93637
050568
4/1/2006
8/25/2022
10/1/2023


Pharmacy Details

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

Contract Details

7/17/2017
10/1/2017

10/1/2023
Covered Entity Terminated


Contacts


MARK FOOTE, VP FINANCE/CFO
(559) 675-5505



CVS Health
Christian J Reid, Sr. Director, 340B
(401) 770-2118
7/17/2017