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LONGS DRUG STORES CALIFORNIA, L.L.C.
CH09848AC COUNTY OF VENTURA
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Covered Entity Details
Entity Name
COUNTY OF VENTURA
Subdivision Name
Las Islas Mobile Clinic
Type
HRSA-Funded Health Center
340B ID
CH09848AC
Entity Address
325 W. Channel Islands Blvd
Oxnard, CA 93033
Grant Number
H80CS00247
Participating Start Date
4/1/2014
Last Recertification Date
3/7/2025
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
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