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LONGS DRUG STORES CALIFORNIA, L.L.C.
CHC24114-00 Santa Cruz Community Health Centers
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Covered Entity Details
Entity Name
Santa Cruz Community Health Centers
Subdivision Name
Santa Cruz Women's Health Center
Type
HRSA-Funded Health Center
340B ID
CHC24114-00
Entity Address
250 Locust Street
Santa Cruz, CA 95060-3813
Grant Number
H80CS24114
Participating Start Date
4/1/2013
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
LONGS DRUG STORES CALIFORNIA, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09331
600 FRONT ST
SANTA CRUZ, CA 95060
Pharmacy Comments
Contract Details
Approval Date
4/16/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Leslie Conner, Executive Director
(831) 427-3582 Ext: 134
Contract Pharmacy Representative
CVS Health
William Combes, 340B Vendor Operations Manager
(401) 770-8411
Signed By Date
4/16/2017
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