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GARFIELD BEACH CVS, L.L.C.
CHC33794-00 HEALTH ACCESS FOR ALL INC.
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Covered Entity Details
Entity Name
HEALTH ACCESS FOR ALL INC.
Subdivision Name
Angeles Community Health Center - Huntington Park
Type
HRSA-Funded Health Center
340B ID
CHC33794-00
Entity Address
6208 Seville Ave
Huntington Park, CA 90255-2913
Grant Number
H80CS33794
Participating Start Date
1/1/2020
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09501
2655 SANTA ANA STREET
SOUTH GATE, CA 90280
Pharmacy Comments
Contract Details
Approval Date
10/15/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Peyman Banooni, CEO
(213) 228-3808
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/15/2020
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