Contract Pharmacy Details

GARFIELD BEACH CVS, L.L.C.
CH091014C COMMUNITY HEALTH ALLIANCE OF PASADENA

Covered Entity Details

Entity Name

COMMUNITY HEALTH ALLIANCE OF PASADENA

Subdivision Name

ChapCare - Vacco

Type

HRSA-Funded Health Center

340B ID

CH091014C

Entity Address

10408 Vacco St
South El Monte, CA 91733-3328

Grant Number

H80CS04220

Participating Start Date

4/1/2013

Last Recertification Date

2/2/2023

Entity Termination Date

4/1/2024

Pharmacy Details

Pharmacy Name

GARFIELD BEACH CVS, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 03968
816 E. MAIN STREET
ALHAMBRA, CA 91801

Pharmacy Comments

Contract Details

Approval Date

4/14/2020

Contract Begin Date

7/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2024
Covered Entity Terminated

Contacts

Covered Entity Signing Official

MARGARET B. MARTINEZ, Chief Executive Officer
(626) 993-1227

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

4/14/2020

340B Drug Pricing Program Database