340B Drug Pricing Program Database
GARFIELD BEACH CVS, L.L.C.
FQHCLA397E Health Service Alliance - information as of 6/2/2025 4:40:18 PM
Covered Entity Details
Entity Name
Health Service Alliance
Subdivision Name
Palm Desert Community Health Center
Type
Health Center Program Look-Alike
340B ID
FQHCLA397E
Entity Address
41990 Cook St STE F-2002
Palm Desert, CA 92211-6100
Grant Number
LALCS33333
Participating Start Date
10/1/2023
Last Recertification Date
3/6/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09745
4535 HOLT BLVD
MONTCLAIR, CA 91763
Pharmacy Comments
Contract Details
Approval Date
4/15/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Christen Grelling, Chief Operations Officer
(909) 464-9675 Ext: 104
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/15/2025
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