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.
FQHCLA420 COMMUNITY HEALTH CENTERS OF AMERICA

Covered Entity Details

Community Health Centers of America
Health Center Program Look-Alike
FQHCLA420
5320 State Highway 49 N Ste 1
Mariposa, CA 95338-9588
LALCS40180
7/1/2024


Pharmacy Details

DBA: CVS/PHARMACY # 09171
2900 STANDIFORD AVE
MODESTO, CA 95350

Contract Details

1/17/2023
4/1/2023

4/1/2024
Covered Entity Terminated


Contacts


Naresh Channaveerappa, CEO
(209) 678-0990



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