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LONGS DRUG STORES CALIFORNIA, L.L.C.
URB10414 SACRAMENTO NATIVE AMERICAN HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
SACRAMENTO NATIVE AMERICAN HEALTH CENTER, INC.
Subdivision Name
Type
Urban Indian
340B ID
URB10414
Entity Address
2020 J STREET
SACRAMENTO, CA 95811
Grant Number
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 # 09809
4959 MARCONI AVE
CARMICHAEL, CA 95608
Pharmacy Comments
Contract Details
Approval Date
1/4/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
BRITTA GUERRERO, CEO
(916) 341-0576 Ext: 2205
Contract Pharmacy Representative
CVS Pharmacies
Christian Reid, 340B Program Director
(401) 770-2118
Signed By Date
1/4/2024
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