Contract Pharmacy Details

LONGS DRUG STORES CALIFORNIA, L.L.C.
CH09071AU COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC.

Covered Entity Details

Entity Name

COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC.

Subdivision Name

CHC - TEMPLETON WOMEN'S HEALTH

Type

HRSA-Funded Health Center

340B ID

CH09071AU

Entity Address

292 Posada Ln Ste A
Templeton, CA 93465

Grant Number

H80CS00621

Participating Start Date

7/1/2016

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

LONGS DRUG STORES CALIFORNIA, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 09925
187 NIBLICK RD
PASO ROBLES, CA 93446

Pharmacy Comments

Contract Details

Approval Date

5/4/2023

Contract Begin Date

5/5/2023

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

RONALD E. CASTLE, CEO
(805) 459-1835

Contract Pharmacy Representative

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

Signed By Date

5/4/2023

340B Drug Pricing Program Database