340B Drug Pricing Program Database
GARFIELD BEACH CVS, L.L.C.
CHC28371-00 SOUTHLAND INTEGRATED SERVICES INC - information as of 4/25/2025 7:08:16 PM
Covered Entity Details
Entity Name
SOUTHLAND INTEGRATED SERVICES INC
Subdivision Name
Southland Integrated Services, Inc.
Type
HRSA-Funded Health Center
340B ID
CHC28371-00
Entity Address
9862 Chapman Avenue
Garden Grove, CA 92841-2726
Grant Number
H80CS28371
Participating Start Date
10/1/2023
Last Recertification Date
2/28/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 08862
12031 BROOKHURST STREET
GARDEN GROVE, CA 92840
Pharmacy Comments
Contract Details
Approval Date
4/14/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tricia Nguyen, CEO
(714) 620-7007
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/14/2025
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