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LONGS DRUG STORES CALIFORNIA, L.L.C.
CH09321Z Camarena Health
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Covered Entity Details
Entity Name
Camarena Health
Subdivision Name
Camarena Health - Tesoro Viejo
Type
HRSA-Funded Health Center
340B ID
CH09321Z
Entity Address
4148 Town Center Blvd
Madera, CA 93636
Grant Number
H80CS00143
Participating Start Date
7/1/2023
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
LONGS DRUG STORES CALIFORNIA, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09846
6800 N MILBURN AVE
FRESNO, CA 93722
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
Paulo A. Soares, CEO
(559) 664-4089
Contract Pharmacy Representative
CVS Pharmacies
Christian Reid, 340B Program Director
(401) 770-2118
Signed By Date
10/16/2023
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