Contract Pharmacy Details

GARFIELD BEACH CVS, L.L.C.
CHC26614-00 APLA HEALTH & WELLNESS

Covered Entity Details

Entity Name

APLA HEALTH & WELLNESS

Subdivision Name

APLA Health & Wellness Center

Type

HRSA-Funded Health Center

340B ID

CHC26614-00

Entity Address

3743 S. La Brea Ave.
Los Angeles, CA 90016-5309

Grant Number

H80CS26614

Participating Start Date

7/1/2014

Last Recertification Date

3/3/2025

Pharmacy Details

Pharmacy Name

GARFIELD BEACH CVS, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 09652
8491 SANTA MONICA BLVD
WEST HOLLYWOOD, CA 90069

Pharmacy Comments

Contract Details

Approval Date

10/15/2019

Contract Begin Date

1/1/2020

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Craig E. Thompson, Chief Executive Officer
(213) 201-1456

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

10/15/2019

340B Drug Pricing Program Database