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GARFIELD BEACH CVS, L.L.C.
CH092240 SHASTA COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
SHASTA COMMUNITY HEALTH CENTER
Subdivision Name
SHASTA COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH092240
Entity Address
1035 Placer St
Redding, CA 96001-1125
Grant Number
H80CS00832
Participating Start Date
4/1/1997
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
CVS/PHARMACY #11346
101 W LAKE ST
MOUNT SHASTA, CA 96067-2225
Pharmacy Comments
Contract Details
Approval Date
10/16/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DEAN C. GERMANO, CEO
(530) 246-5704
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/16/2020
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