340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

GARFIELD BEACH CVS, L.L.C.
CH091080 SAN YSIDRO HEALTH CENTER

Covered Entity Details

San Ysidro Health San Ysidro Health Center
HRSA-Funded Health Center
CH091080
4004 BEYER BLVD
San Ysidro, CA 92173
H80CS10748
12/1/1992
2/13/2024


Pharmacy Details

DBA: CVS/PHARMACY # 05551
109 SOUTH WEST ST.
TULARE, CA 93274

Contract Details

1/15/2021
4/1/2021


Contacts


Kevin Mattson, President & CEO
(619) 662-6322



CVS Health
Christian J Reid, Sr. Director, 340B
(401) 770-2118
1/15/2021