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.
CH09365AL Clinicas del Camino Real, Inc.
Print
Covered Entity Details
Entity Name
Clinicas del Camino Real, Inc.
Subdivision Name
Clinicas del Camino Real Inc - La Colonia
Type
HRSA-Funded Health Center
340B ID
CH09365AL
Entity Address
801 Cooper Rd
Oxnard, CA 93030-5445
Grant Number
H80CS00550
Participating Start Date
1/1/2021
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
LONGS DRUG STORES CALIFORNIA, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09286
581 W CHANNEL ISLANDS BLVD
PORT HUENEME, CA 93041
Pharmacy Comments
01/27/2012 changed CP name (was LONGS DRUGS #286)
Contract Details
Approval Date
7/13/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Robert Streeter, Chief Medical Officer
(805) 659-1740
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/13/2023
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