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GARFIELD BEACH CVS, L.L.C.
CHC29048-03 BEHAVIORAL HEALTH SERVICES INC
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Covered Entity Details
Entity Name
BEHAVIORAL HEALTH SERVICES INC
Subdivision Name
BHS Adelante Health Center
Type
HRSA-Funded Health Center
340B ID
CHC29048-03
Entity Address
2015 W 1st St Ste L
Santa Ana, CA 92703-3516
Grant Number
H80CS29048
Participating Start Date
10/1/2018
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09583
102 NORTH MAIN STREET
SANTA ANA, CA 92701
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
7/1/2019
Agreement registered in error
Contacts
Covered Entity Signing Official
Shirley Summers, President/CEO
(310) 679-9126
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/12/2019
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