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LONGS DRUG STORES CALIFORNIA, L.L.C.
CH092464N WEST HAWAII COMMUNITY HEALTH CENTER, INC
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Covered Entity Details
Entity Name
WEST HAWAII COMMUNITY HEALTH CENTER, INC
Subdivision Name
PAHOA WOMEN AND CHILDREN'S HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH092464N
Entity Address
15-2866 PAHOA VILLAGE RD
PAHOA, HI 96778
Grant Number
H80CS06640
Participating Start Date
4/1/2023
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
LONGS DRUG STORES CALIFORNIA, L.L.C.
Pharmacy Address
DBA: LONGS DRUGS # 05638
96-3163 PIKAKE ST
PAHALA, HI 96777
Pharmacy Comments
Contract Details
Approval Date
7/8/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
RICHARD J. TAAFFE, CEO
(808) 326-3878
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/8/2024
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