Contract Pharmacy Details

GARFIELD BEACH CVS, L.L.C.
CHC266170-00 Via Care Community Health Center, INC.

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 # 09122
700 S. GAFFEY ST.
SAN PEDRO, CA 90731

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

340B Drug Pricing Program Database