340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

LONGS DRUG STORES CALIFORNIA, L.L.C.
DSH050492 Fresno Community Hospital & Medical Center dba Clovis Community Medical Center

Covered Entity Details

Disproportionate Share Hospital
DSH050492
2755 Herndon Avenue
Clovis, CA 93611
050492
1/1/2014
8/15/2024


Pharmacy Details

DBA: CVS/PHARMACY # 09933
1405 HERNDON AVENUE
CLOVIS, CA 93611

Contract Details

4/8/2014
7/1/2014

4/1/2016
Business decision by covered entity and/or pharmacy


Contacts


Tracy Kiritani, CFO
(559) 324-4844



CVS Caremark
Anthony Gratto, 340B Vendor Manager
(401) 770-7298
4/8/2014