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.
CH09366F COMMUNITY HEALTH SYSTEMS, INC
Print
Covered Entity Details
Entity Name
COMMUNITY HEALTH SYSTEMS, INC
Subdivision Name
Moreno Valley Family Health Center
Type
HRSA-Funded Health Center
340B ID
CH09366F
Entity Address
22675 Alessandro Blvd
Moreno Valley, CA 92553
Grant Number
H80CS00222
Participating Start Date
1/1/2010
Last Recertification Date
3/4/2025
Pharmacy Details
Pharmacy Name
LONGS DRUG STORES CALIFORNIA, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 03058
26180 IRIS AVE
MORENO VALLEY, CA 92555
Pharmacy Comments
Contract Details
Approval Date
7/15/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lori N. Holeman, Chief Executive Officer
(951) 571-2300
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/15/2024
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