Contract Pharmacy Details

GARFIELD BEACH CVS, L.L.C.
CHC28984-00 CENTER FOR FAMILY HEALTH & EDUCATION, INC.

Covered Entity Details

Entity Name

CENTER FOR FAMILY HEALTH & EDUCATION, INC.

Subdivision Name

Center for Family Health and Education, Inc.

Type

HRSA-Funded Health Center

340B ID

CHC28984-00

Entity Address

8727 Van Nuys Blvd STE 102
Panorama City, CA 91402-2400

Grant Number

H80CS28984

Participating Start Date

4/1/2016

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

GARFIELD BEACH CVS, L.L.C.

Pharmacy Address

DBA CVS/PHARMACY #10067
4621 FIRESTONE BLVD
SOUTH GATE, CA 90280

Pharmacy Comments

Contract Details

Approval Date

7/12/2019

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

Daryoush Kashani, CEO/CMO
(818) 899-5555 Ext: 110

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

7/12/2019

340B Drug Pricing Program Database