Contract Pharmacy Details

GARFIELD BEACH CVS, L.L.C.
CH0920440 HILL COUNTRY COMMUNITY CLINIC

Covered Entity Details

Entity Name

HILL COUNTRY COMMUNITY CLINIC

Subdivision Name

HILL COUNTRY COMMUNITY CLINIC

Type

HRSA-Funded Health Center

340B ID

CH0920440

Entity Address

29632 HIGHWAY 299 EAST
ROUND MOUNTAIN, CA 96084

Grant Number

H80CS04226

Participating Start Date

1/1/2002

Last Recertification Date

2/23/2025

Pharmacy Details

Pharmacy Name

GARFIELD BEACH CVS, L.L.C.

Pharmacy Address

CVS/PHARMACY #11342
2975 EAST ST
ANDERSON, CA 96007-3481

Pharmacy Comments

Contract Details

Approval Date

11/29/2019

Contract Begin Date

11/29/2019

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

RICHARD B. HARDIE III, Senior Financial Advisor
(530) 337-5756

Contract Pharmacy Representative

WellPartner, A CVS Health Company
Derek Sterns, National Sales Representative
(503) 317-9840

Signed By Date

11/29/2019

340B Drug Pricing Program Database