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GARFIELD BEACH CVS, L.L.C.
CHC24112-00 MCCLOUD HEALTHCARE CLINIC INC
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Covered Entity Details
Entity Name
MCCLOUD HEALTHCARE CLINIC INC
Subdivision Name
Shasta Cascade Health Centers - McCloud
Type
HRSA-Funded Health Center
340B ID
CHC24112-00
Entity Address
116 West Minnesota Avenue
McCloud, CA 96057-1143
Grant Number
H80CS24112
Participating Start Date
1/1/2014
Last Recertification Date
2/23/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
CVS/PHARMACY #11346
101 W LAKE ST
MOUNT SHASTA, CA 96067-2225
Pharmacy Comments
Contract Details
Approval Date
12/12/2019
Contract Begin Date
12/12/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
James Sumner Proffitt, CEO
(530) 964-2389
Contract Pharmacy Representative
Wellpartner, a CVS Health Company
Alyssa Felton, Consultant, Account Manager
(480) 586-7265
Signed By Date
12/12/2019
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