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GARFIELD BEACH CVS, L.L.C.
CH093160 ARROYO VISTA FAMILY HEALTH FOUNDATION
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Covered Entity Details
Entity Name
ARROYO VISTA FAMILY HEALTH FOUNDATION
Subdivision Name
ARROYO VISTA FAMILY HEALTH CENTER ~ Highland Park
Type
HRSA-Funded Health Center
340B ID
CH093160
Entity Address
6000 N Figueroa St
Los Angeles, CA 90042-4232
Grant Number
H80CS00374
Participating Start Date
7/1/1998
Last Recertification Date
2/26/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY #10509
3627 EAST CESAR EAST CHAVEZ AVENUE
LOS ANGELES, CA 90063
Pharmacy Comments
Contract Details
Approval Date
7/1/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/2/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Lorraine J. Estradas, CEO
(323) 254-5291 Ext: 3201
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/1/2020
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