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LONGS DRUG STORES CALIFORNIA, L.L.C.
CH09123E LA CLINICA DE LA RAZA, INC.
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Covered Entity Details
Entity Name
LA CLINICA DE LA RAZA, INC.
Subdivision Name
LA CLINICA DE LA RAZA
Type
HRSA-Funded Health Center
340B ID
CH09123E
Entity Address
3451 E 12th St
Oakland, CA 94601-3425
Grant Number
H80CS00631
Participating Start Date
12/1/1992
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
LONGS DRUG STORES CALIFORNIA, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09130
175 41ST ST
OAKLAND, CA 94611
Pharmacy Comments
Contract Details
Approval Date
10/4/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jane Garcia, CEO
(510) 535-4000
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/4/2023
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