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.
CHC28995-00 UNICARE COMMUNITY HEALTH CENTER
Print
Covered Entity Details
Entity Name
UNICARE COMMUNITY HEALTH CENTER
Subdivision Name
Unicare Community Health Center, Inc.
Type
HRSA-Funded Health Center
340B ID
CHC28995-00
Entity Address
437 N EUCLID AVE
ONTARIO, CA 91762-3456
Grant Number
H80CS28995
Participating Start Date
7/1/2016
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
LONGS DRUG STORES CALIFORNIA, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04291
12058 PALMDALE RD
ADELANTO, CA 92301
Pharmacy Comments
Contract Details
Approval Date
1/15/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Avetik Machkalyan, CEO
(909) 623-3600
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/15/2025
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