340B Drug Pricing Program Database

Pharmacy Name

LONGS DRUG STORES CALIFORNIA, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 09311
20180 US HIGHWAY 18
APPLE VALLEY, CA 92307

Pharmacy Comments

Approval Date

4/7/2023

Contract Begin Date

7/1/2023

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

8/9/2023
Pharmacy closed

Covered Entity Signing Official

Eugene Gutierrez, Chief Financial Officer
(760) 946-8105

Contract Pharmacy Representative

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

Signed By Date

4/7/2023