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LONGS DRUG STORES CALIFORNIA, L.L.C.
CH092280 COMMUNITY HEALTH ALLIANCE
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Covered Entity Details
Entity Name
COMMUNITY HEALTH ALLIANCE
Subdivision Name
CHA Administration
Type
HRSA-Funded Health Center
340B ID
CH092280
Entity Address
680 South Rock Blvd
Reno, NV 89502
Grant Number
H80CS00539
Participating Start Date
10/1/1995
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
LONGS DRUG STORES CALIFORNIA, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09170
2300 ODDIE BLVD
SPARKS, NV 89431
Pharmacy Comments
Contract Details
Approval Date
10/5/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/1/2021
Pharmacy closed
Contacts
Covered Entity Signing Official
Charles Duarte, CEO
(775) 336-3017
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/5/2016
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