340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
LONGS DRUG STORES CALIFORNIA, L.L.C.
CH092537A Ko'olauloa Health Center
Print
Covered Entity Details
Entity Name
Ko'olauloa Health Center
Subdivision Name
Hau'ula Clinic
Type
HRSA-Funded Health Center
340B ID
CH092537A
Entity Address
54-316 Kamehameha Hwy Suite 6 & 7
Hauula, HI 96717
Grant Number
H80CS06641
Participating Start Date
4/1/2011
Last Recertification Date
2/12/2025
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
7/2/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
TERRENCE ARATANI, CHIEF EXECUTIVE OFFICER
(808) 792-3840
Contract Pharmacy Representative
Ko'olauloa Health Center
Allen John Bagalso, Director of Pharmacy
(808) 293-9514
Signed By Date
7/2/2024
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session