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GARFIELD BEACH CVS, L.L.C.
CH09244B CLINIC INC, THE
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Covered Entity Details
Entity Name
CLINIC INC, THE
Subdivision Name
T.H.E. Clinic Inc. at Lennox School District
Type
HRSA-Funded Health Center
340B ID
CH09244B
Entity Address
10223 Firmona Ave
Lennox, CA 90304-1421
Grant Number
H80CS00755
Participating Start Date
4/1/2015
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 08837
222 N. MARKET ST.
INGLEWOOD, CA 90301
Pharmacy Comments
Contract Details
Approval Date
10/3/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Clifford Shiepe, President and CEO
(323) 730-1920 Ext: 3053
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/3/2019
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