340B Drug Pricing Program Database
GARFIELD BEACH CVS, L.L.C.
CHC26621-00 Los Angeles Gay And Lesbian Community Services Center - information as of 5/3/2025 11:34:28 PM
Covered Entity Details
Entity Name
Los Angeles Gay And Lesbian Community Services Center
Subdivision Name
The Los Angeles Gay & Lesbian Center
Type
HRSA-Funded Health Center
340B ID
CHC26621-00
Entity Address
1625 Schrader Blvd
Los Angeles, CA 90028-6213
Grant Number
H80CS26621
Participating Start Date
7/1/2014
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09686
4707 VENICE BLVD
LOS ANGELES, CA 90019
Pharmacy Comments
Contract Details
Approval Date
4/4/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Robyn Goldman, Chief Financial Officer
(323) 993-8948
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/4/2025
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