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GARFIELD BEACH CVS, L.L.C.
CH091014J COMMUNITY HEALTH ALLIANCE OF PASADENA
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Covered Entity Details
Entity Name
COMMUNITY HEALTH ALLIANCE OF PASADENA
Subdivision Name
ChapCare - Peck
Type
HRSA-Funded Health Center
340B ID
CH091014J
Entity Address
3703 Peck Rd.
Unit A-C
El Monte, CA 91731-3532
Grant Number
H80CS04220
Participating Start Date
10/1/2018
Last Recertification Date
2/2/2023
Entity Termination Date
4/1/2024
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09689
950 WEST FOOTHILL BLVD
MONROVIA, CA 91016
Pharmacy Comments
Contract Details
Approval Date
10/11/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
MARGARET B. MARTINEZ, Chief Executive Officer
(626) 993-1227
Contract Pharmacy Representative
CVS Health
Christian Reid, Senior Director of 340B
(401) 770-2118
Signed By Date
10/11/2019
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