340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
GARFIELD BEACH CVS, L.L.C.
CH092500 IMPERIAL BEACH COMMUNITY CLINIC
Print
Covered Entity Details
Entity Name
IMPERIAL BEACH COMMUNITY CLINIC
Subdivision Name
IMPERIAL BEACH HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH092500
Entity Address
949 Palm Ave
Imperial Beach, CA 91932-1503
Grant Number
H80CS06648
Participating Start Date
4/1/1996
Last Recertification Date
2/26/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04768
510 C STREET
SAN DIEGO, CA 92101
Pharmacy Comments
Contract Details
Approval Date
10/7/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/15/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
CONSTANCE KIRK, CEO
(619) 429-5387
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/7/2019
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