340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
LONGS DRUG STORES CALIFORNIA, L.L.C.
CHC12872-00 WellSpace Health
Print
Covered Entity Details
Entity Name
WellSpace Health
Subdivision Name
J Street Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC12872-00
Entity Address
1820 J Street
Sacramento, CA 95811-3010
Grant Number
H80CS12872
Participating Start Date
7/1/2018
Last Recertification Date
3/7/2025
Pharmacy Details
Pharmacy Name
LONGS DRUG STORES CALIFORNIA, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09546
3251 STANFORD RANCH RD
ROCKLIN, CA 95765
Pharmacy Comments
Contract Details
Approval Date
1/29/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Alasdair Jonathan Porteus, CEO
(916) 550-5444
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/29/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session