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LONGS DRUG STORES CALIFORNIA, L.L.C.
STD900171 The Wall Las Memorias
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Covered Entity Details
Entity Name
The Wall Las Memorias
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD900171
Entity Address
800 W 6th St
#750
Los Angeles, CA 90017
Grant Number
NU62PS924569
Participating Start Date
11/19/2021
Last Recertification Date
5/14/2024
Pharmacy Details
Pharmacy Name
LONGS DRUG STORES CALIFORNIA, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09985
8900 SEPULVEDA WESTWAY
LOS ANGELES, CA 90045
Pharmacy Comments
Contract Details
Approval Date
10/9/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Richard Zaldivar, Executive Director
(323) 257-1056 Ext: 27
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/9/2024
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