340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
GARFIELD BEACH CVS, L.L.C.
FP92706 AIDS Services Foundation Orange County dba Radiant Health Centers
Print
Covered Entity Details
Entity Name
AIDS Services Foundation Orange County dba Radiant Health Centers
Subdivision Name
AIDS Services Foundation Orange County
Type
Family Planning (Title X only)
340B ID
FP92706
Entity Address
2708 Westminster Avenue
110
Santa Ana, CA 92706
Grant Number
FPHPA006470
Participating Start Date
1/1/2019
Last Recertification Date
5/29/2020
Entity Termination Date
4/1/2021
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09486
5385 ALTON PARKWAY
IRVINE, CA 92604
Pharmacy Comments
Contract Details
Approval Date
1/4/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Guita Sharifi, CFO
(949) 809-5753
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/4/2019
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session