Contract Pharmacy Details

LONGS DRUG STORES CALIFORNIA, L.L.C.
FQHCLA368 WAHIAWA CENTER FOR COMMUNITY HEALTH, THE

Covered Entity Details

Entity Name

WAHIAWA CENTER FOR COMMUNITY HEALTH, THE

Subdivision Name

The Wahiawa Center for Community Health

Type

Health Center Program Look-Alike

340B ID

FQHCLA368

Entity Address

302 CALIFORNIA AVE STE 106
Wahiawa, HI 96786-1841

Grant Number

LALCS31600

Participating Start Date

7/1/2018

Last Recertification Date

2/13/2025

Pharmacy Details

Pharmacy Name

LONGS DRUG STORES CALIFORNIA, L.L.C.

Pharmacy Address

DBA LONGS DRUGS # 10153
54-316 KAMEHAMEHA HWY STE 102
HAUULA, HI 96717-9539

Pharmacy Comments

Contract Details

Approval Date

1/5/2024

Contract Begin Date

4/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Beverly Harbin, CEO
(808) 591-0000

Contract Pharmacy Representative

WellPartner
Anthony McEeachern, Anthony McEachern
(315) 314-1802

Signed By Date

1/5/2024

340B Drug Pricing Program Database