340B Drug Pricing Program Database

Pharmacy Name

LONGS DRUG STORES CALIFORNIA, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 09099
4020 FREMONT HUB
FREMONT, CA 94538

Pharmacy Comments

Approval Date

10/14/2022

Contract Begin Date

1/1/2023

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Edward Fayen, Exec VP & Chief of Operations
(510) 818-6513

Contract Pharmacy Representative

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

Signed By Date

10/14/2022