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.
FQHC638012F Northern Valley Indian Health
Print
Covered Entity Details
Entity Name
Northern Valley Indian Health
Subdivision Name
Gibson Rd
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638012F
Entity Address
1280 E Gibson Rd
Woodland, CA 95776
Grant Number
Participating Start Date
10/1/2021
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
LONGS DRUG STORES CALIFORNIA, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09188
869 NEWVILLE RD
ORLAND, CA 95963
Pharmacy Comments
Contract Details
Approval Date
7/11/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Inder Wadhwa, CEO
(530) 896-9409
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/11/2024
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