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GARFIELD BEACH CVS, L.L.C.
CH09316B ARROYO VISTA FAMILY HEALTH FOUNDATION
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Covered Entity Details
Entity Name
ARROYO VISTA FAMILY HEALTH FOUNDATION
Subdivision Name
ARROYO VISTA FAMILY HEALTH CENTER ~ El Sereno
Type
HRSA-Funded Health Center
340B ID
CH09316B
Entity Address
4815 EAST VALLEY BLVD STE C
LOS ANGELES, CA 90032-3300
Grant Number
H80CS00374
Participating Start Date
10/1/2006
Last Recertification Date
2/26/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09791
2532 W. VALLEY BLVD.
ALHAMBRA, CA 91803
Pharmacy Comments
Contract Details
Approval Date
10/15/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/2/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Lorraine J. Estradas, CEO
(323) 254-5291 Ext: 3201
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/15/2019
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