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GARFIELD BEACH CVS, L.L.C.
CHC33648-01 YEHOWA MEDICAL SERVICES
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Covered Entity Details
Entity Name
YEHOWA MEDICAL SERVICES
Subdivision Name
Yehowa Medical Services - Florence
Type
HRSA-Funded Health Center
340B ID
CHC33648-01
Entity Address
1039 W Florence Ave
Los Angeles, CA 90044-2441
Grant Number
H80CS33648
Participating Start Date
1/1/2020
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 08892
5822 SOUTH VERMONT AVENUE
LOS ANGELES, CA 90044
Pharmacy Comments
Contract Details
Approval Date
4/6/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Thomas Tweh, Chief Executive Officer
(323) 776-1500 Ext: 1000
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/6/2020
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