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LONGS DRUG STORES CALIFORNIA, L.L.C.
CH09288F Lifelong Medical Care
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Covered Entity Details
Entity Name
Lifelong Medical Care
Subdivision Name
LIFELONG DENTAL CLINIC
Type
HRSA-Funded Health Center
340B ID
CH09288F
Entity Address
1860 ALCATRAZ AVE
BERKELEY, CA 94703-2715
Grant Number
H80CS00808
Participating Start Date
4/1/2008
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
LONGS DRUG STORES CALIFORNIA, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 03026
2300 SHATTUCK AVE
BERKELEY, CA 94704
Pharmacy Comments
Contract Details
Approval Date
4/15/2008
Contract Begin Date
4/15/2008
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/29/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
4/7/2008
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