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GARFIELD BEACH CVS, L.L.C.
CHC28984-00 CENTER FOR FAMILY HEALTH & EDUCATION, INC.
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Covered Entity Details
Entity Name
CENTER FOR FAMILY HEALTH & EDUCATION, INC.
Subdivision Name
Center for Family Health and Education, Inc.
Type
HRSA-Funded Health Center
340B ID
CHC28984-00
Entity Address
8727 Van Nuys Blvd STE 102
Panorama City, CA 91402-2400
Grant Number
H80CS28984
Participating Start Date
4/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09601
1015 N. SAN FERNANDO BOULEVARD
BURBANK, CA 91504
Pharmacy Comments
Contract Details
Approval Date
10/6/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/14/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Daryoush Kashani, CEO/CMO
(818) 899-5555 Ext: 110
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/6/2020
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