Contract Pharmacy Details

GARFIELD BEACH CVS, L.L.C.
CHC28991-00 The ROADS Foundation

Covered Entity Details

Entity Name

The ROADS Foundation

Subdivision Name

ROADS Community Clinic - Compton

Type

HRSA-Funded Health Center

340B ID

CHC28991-00

Entity Address

121 S LONG BEACH BLVD
COMPTON, CA 90221-3423

Grant Number

H80CS28991

Participating Start Date

1/1/2016

Last Recertification Date

2/24/2025

Pharmacy Details

Pharmacy Name

GARFIELD BEACH CVS, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 09501
2655 SANTA ANA STREET
SOUTH GATE, CA 90280

Pharmacy Comments

Contract Details

Approval Date

1/6/2020

Contract Begin Date

4/1/2020

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Lee D. Yoseloff, Chief Executive Officer
(310) 627-5800

Contract Pharmacy Representative

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

Signed By Date

1/6/2020

340B Drug Pricing Program Database