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GARFIELD BEACH CVS, L.L.C.
CHC08241-00 MISSION CITY COMMUNITY NETWORK
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Covered Entity Details
Entity Name
MISSION CITY COMMUNITY NETWORK
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CHC08241-00
Entity Address
15206 PARTHENIA STREET
NORTH HILLS, CA 91343
Grant Number
H80CS08241
Participating Start Date
7/1/2000
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
CVS/PHARMACY # 16040
9725 LAUREL CANYON BLVD
ARLETA, CA 91331
Pharmacy Comments
Contract Details
Approval Date
4/13/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Nik Gupta, CEO
(818) 895-3100
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/13/2020
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