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.
DSH050121 Adventist Medical Center

Covered Entity Details

Disproportionate Share Hospital
DSH050121
115 mall drive
HANFORD, CA 93230
050121
1/1/2008
9/6/2024


Pharmacy Details

DBA: CVS/PHARMACY # 09983
929 SIERRA ST
KINGSBURG, CA 93631

Contract Details

4/16/2018
7/1/2018


Contacts


Timothy Michael Haydock, CFO
(559) 537-0050



CVS Health
Christian J Reid, Sr. Director, 340B
(401) 770-2118
4/16/2018