Contract Pharmacy Details

LONGS DRUG STORES CALIFORNIA, L.L.C.
CH09848K COUNTY OF VENTURA

Covered Entity Details

Entity Name

COUNTY OF VENTURA

Subdivision Name

John K Flynn Community Clinic

Type

HRSA-Funded Health Center

340B ID

CH09848K

Entity Address

3100 N Rose Ave
Oxnard, CA 93036-1807

Grant Number

H80CS00247

Participating Start Date

10/9/2008

Last Recertification Date

3/4/2025

Pharmacy Details

Pharmacy Name

LONGS DRUG STORES CALIFORNIA, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 09236
50 N ASHWOOD AVE
VENTURA, CA 93003

Pharmacy Comments

01/27/2012 changed CP name (was LONGS DRUGS #236)

Contract Details

Approval Date

10/15/2015

Contract Begin Date

1/1/2016

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

12/15/2018
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Joan Araujo, Deputy Director
(805) 677-5174

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

10/15/2015

340B Drug Pricing Program Database