340B Drug Pricing Program Database
GARFIELD BEACH CVS, L.L.C.
FQHCLA466 3C COMMUNITY CLINIC - information as of 5/5/2025 10:15:51 PM
Covered Entity Details
Entity Name
3C COMMUNITY CLINIC
Subdivision Name
3CCC - Olympic
Type
Health Center Program Look-Alike
340B ID
FQHCLA466
Entity Address
3030 W Olympic Blvd Ste 206
Los Angeles, CA 90006-6506
Grant Number
LALCS48993
Participating Start Date
7/1/2024
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09660
3751 WILSHIRE BOULEVARD
LOS ANGELES, CA 90010
Pharmacy Comments
Contract Details
Approval Date
4/2/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jaesung Kim, CEO
(213) 322-2666
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/2/2025
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