Contract Pharmacy Details

LONGS DRUG STORES CALIFORNIA, L.L.C.
NH96793 Hui No Ke Ola Pono

Covered Entity Details

Entity Name

Hui No Ke Ola Pono

Subdivision Name

Type

Native Hawaiian Health Care Program

340B ID

NH96793

Entity Address

95 Mahalani Street, Room 21
Wailuku, HI 96793

Grant Number

H1CCS00014

Participating Start Date

7/1/2023

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

LONGS DRUG STORES CALIFORNIA, L.L.C.

Pharmacy Address

DBA: LONGS DRUGS # 09303
1215 SOUTH KIHEI RD., SUITE B
KIHEI, HI 96753

Pharmacy Comments

Contract Details

Approval Date

10/9/2023

Contract Begin Date

1/1/2024

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

2/7/2025
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Malia Purdy, Executive Director
(808) 442-6813

Contract Pharmacy Representative

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

Signed By Date

10/9/2023

340B Drug Pricing Program Database