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GARFIELD BEACH CVS, L.L.C.
CH09071U COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC.
Subdivision Name
COMMUNITY HEALTH CENTERS CASA
Type
HRSA-Funded Health Center
340B ID
CH09071U
Entity Address
77 CASA ST. #201
SAN LUIS OBISPO, CA 93405
Grant Number
H80CS00621
Participating Start Date
10/1/2004
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09750
1830 NORTH BROADWAY
SANTA MARIA, CA 93454
Pharmacy Comments
Contract Details
Approval Date
3/19/2010
Contract Begin Date
3/19/2010
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/8/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
RONALD E. CASTLE, CEO
(805) 459-1835
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
3/1/2010
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