340B Drug Pricing Program Database
GARFIELD BEACH CVS, L.L.C.
FQHCLA482 NOALAB CLINIC INC - information as of 6/9/2025 12:23:08 AM
Covered Entity Details
Entity Name
NOALAB CLINIC INC
Subdivision Name
Noalab Community Healthcare - Coldwater Canyon
Type
Health Center Program Look-Alike
340B ID
FQHCLA482
Entity Address
6428 Coldwater Canyon Ave
North Hollywood, CA 91606-1113
Grant Number
LALCS54729
Participating Start Date
4/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04789
10945 VICTORY BOULEVARD
NORTH. HOLLYWOOD, CA 91606
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
Lukash Abrahamyan, CEO
(818) 648-0044
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/2/2025
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