Contract Pharmacy Details

LONGS DRUG STORES CALIFORNIA, L.L.C.
CH09047R GOLDEN VALLEY HEALTH CENTER

Covered Entity Details

Entity Name

GOLDEN VALLEY HEALTH CENTER

Subdivision Name

GVHC - Le Grand

Type

HRSA-Funded Health Center

340B ID

CH09047R

Entity Address

13161 JEFFERSON STREET
LEGRAND, CA 95333

Grant Number

H80CS00742

Participating Start Date

1/1/2007

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

LONGS DRUG STORES CALIFORNIA, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 09623
649 W. OLIVE AVENUE
MERCED, CA 95348

Pharmacy Comments

Contract Details

Approval Date

10/16/2023

Contract Begin Date

1/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Gurjeet Sandhu, Vice President and Chief Financial Officer
(209) 384-6516

Contract Pharmacy Representative

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

Signed By Date

10/16/2023

340B Drug Pricing Program Database