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GARFIELD BEACH CVS, L.L.C.
CHC28984-01 CENTER FOR FAMILY HEALTH & EDUCATION, INC.
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Covered Entity Details
Entity Name
CENTER FOR FAMILY HEALTH & EDUCATION, INC.
Subdivision Name
Orchard Medical Center
Type
HRSA-Funded Health Center
340B ID
CHC28984-01
Entity Address
555 6th Street
Orange Cove, CA 93646-2136
Grant Number
H80CS28984
Participating Start Date
7/1/2019
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 02711
2135 N. DINUBA BLVD.
VISALIA, CA 93291
Pharmacy Comments
Contract Details
Approval Date
7/3/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/31/2019
Agreement registered in error
Contacts
Covered Entity Signing Official
Marisol Ramirez, Chief Administrative Officer
(818) 899-5555 Ext: 105
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/3/2019
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