340B Drug Pricing Program Database

Pharmacy Name

LONGS DRUG STORES CALIFORNIA, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 09243
1000 W KETTLEMAN LN
LODI, CA 95240

Pharmacy Comments

Approval Date

4/16/2018

Contract Begin Date

7/1/2018

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Paul Ziegele, VP & Chief Financial Officer
(209) 339-7477

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

4/16/2018