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LONGS DRUG STORES CALIFORNIA, L.L.C.
STD94530 PLANNED PARENTHOOD SHASTA-DIABLO INC. DBA PLANNED PARENTHOOD NORTHERN CALIFORNIA
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Covered Entity Details
Entity Name
PLANNED PARENTHOOD SHASTA-DIABLO INC. DBA PLANNED PARENTHOOD NORTHERN CALIFORNIA
Subdivision Name
EL CERRITO CENTER
Type
Sexually Transmitted Diseases
340B ID
STD94530
Entity Address
280 EL CERRITO PLAZA
EL CERRITO, CA 94530
Grant Number
1H25PS005127
Participating Start Date
7/1/2014
Last Recertification Date
5/6/2024
Pharmacy Details
Pharmacy Name
LONGS DRUG STORES CALIFORNIA, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09595
1382 SOLANO AVE
ALBANY, CA 94706
Pharmacy Comments
Contract Details
Approval Date
9/2/2022
Contract Begin Date
9/12/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Gloria Martinez, Medical Services & Purchasing Manager
(925) 887-5217
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
9/2/2022
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