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GARFIELD BEACH CVS, L.L.C.
HV00791 TARZANA TREATMENT CENTERS INC
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Covered Entity Details
Entity Name
TARZANA TREATMENT CENTERS INC
Subdivision Name
Type
Ryan White Part C
340B ID
HV00791
Entity Address
18646 OXNARD STREET
TARZANA, CA 91356
Grant Number
H76HA00791
Participating Start Date
10/1/2010
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09682
22968 VICTORY BLVD
WOODLAND HILLS, CA 91367
Pharmacy Comments
Contract Details
Approval Date
4/14/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
ALBERT M. SENELLA, PRESIDENT AND CEO
(818) 654-3815
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/14/2020
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