340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

LONGS DRUG STORES CALIFORNIA, L.L.C.
CH09364R FAMILY HEALTHCARE NETWORK

Covered Entity Details

Family HealthCare Network-Traver Health Center
HRSA-Funded Health Center
CH09364R
4177 Avenue 368
Traver, CA 93673
H80CS00786
4/1/2016
2/16/2024


Pharmacy Details

DBA: CVS/PHARMACY # 09176
1395 E PROSPERITY AVE
TULARE, CA 93274

Contract Details

7/13/2024
10/1/2024


Contacts


Kerry Hydash, President and CEO
(559) 737-4700



CVS Health
Christian J Reid, Sr. Director, 340B
(401) 770-2118
7/13/2024