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LONGS DRUG STORES CALIFORNIA, L.L.C.
DSH050030 OROVILLE HOSPITAL
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Covered Entity Details
Entity Name
OROVILLE HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050030
Entity Address
2767 OLIVE HIGHWAY
OROVILLE, CA 95966
Medicare Provider Number
050030
Participating Start Date
7/1/2006
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
LONGS DRUG STORES CALIFORNIA, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09158
850 ORO DAM BLVD E
OROVILLE, CA 95965
Pharmacy Comments
Contract Details
Approval Date
9/19/2011
Contract Begin Date
9/19/2011
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ASHOK P. KHANCHANDANI, EXECUTIVE VICE PRESIDENT/CFO
(530) 532-8509
Contract Pharmacy Representative
CVS
Scott Tierney, Senior Director, Payer Relations
(401) 770-2762
Signed By Date
8/16/2011
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