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GARFIELD BEACH CVS, L.L.C.
CHC266170-00 Via Care Community Health Center, INC.
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Covered Entity Details
Entity Name
Via Care Community Health Center, INC.
Subdivision Name
Via Care 507 Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC266170-00
Entity Address
507 S. Atlantic Blvd.
Los Angeles, CA 90022-2621
Grant Number
H80CS26617
Participating Start Date
4/1/2014
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY #10509
3627 EAST CESAR EAST CHAVEZ AVENUE
LOS ANGELES, CA 90063
Pharmacy Comments
Contract Details
Approval Date
4/2/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Nina Falcetti, Director of HR
(323) 268-9191 Ext: 1091
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/2/2020
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