340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
GARFIELD BEACH CVS, L.L.C.
CH09312AW FAMILY HEALTH CENTERS OF SAN DIEGO, INC.
Print
Covered Entity Details
Entity Name
FAMILY HEALTH CENTERS OF SAN DIEGO, INC.
Subdivision Name
Logan Heights Family Counseling Center
Type
HRSA-Funded Health Center
340B ID
CH09312AW
Entity Address
2204 National Ave
San Diego, CA 92113-3615
Grant Number
H80CS00224
Participating Start Date
7/1/2008
Last Recertification Date
3/1/2025
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
10/14/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ricardo Roman, CFO
(619) 906-4603
Contract Pharmacy Representative
GARFIELD BEACH CVS, L.L.C.
John Zevzavajian, VP, Managed Care
(401) 770-3672
Signed By Date
10/14/2019
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