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LONGS DRUG STORES CALIFORNIA, L.L.C.
CH09071D COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC.
Subdivision Name
COMMUNITY HEALTH CENTERS PASO
Type
HRSA-Funded Health Center
340B ID
CH09071D
Entity Address
416A Spring St.
PASO ROBLES, CA 93446
Grant Number
H80CS00621
Participating Start Date
4/1/1997
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
LONGS DRUG STORES CALIFORNIA, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09925
187 NIBLICK RD
PASO ROBLES, CA 93446
Pharmacy Comments
Contract Details
Approval Date
12/4/2009
Contract Begin Date
12/4/2009
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/8/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
RONALD E. CASTLE, CEO
(805) 459-1835
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
11/28/2009
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