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.
CH091940 MENDOCINO COMMUNITY HEALTH CLINIC, INC.

Covered Entity Details

Hillside Health Center
HRSA-Funded Health Center
CH091940
333 Laws Ave
Ukiah, CA 95482-6540
H80CS00628
7/1/1995
2/16/2024


Pharmacy Details

DBA: CVS/PHARMACY # 09592
1435 E GRAND AVE
ARROYO GRANDE, CA 93420

Contract Details

1/17/2023
4/1/2023


Contacts


Rod Grainger, CEO
(707) 472-4667



CVS Health
Christian J Reid, Sr. Director, 340B
(401) 770-2118
1/17/2023