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.
CHC24113-00 Elica Health Centers

Covered Entity Details

West Sacramento Medical Center
HRSA-Funded Health Center
CHC24113-00
155 15th St
West Sacramento, CA 95691-3737
H80CS24113
1/1/2018
1/30/2024


Pharmacy Details

CVS/PHARMACY # 11339
777 S. HARBOR BLVD., SUITE E-164
LA HABRA, CA 90631

Contract Details

7/2/2021
10/1/2021

2/19/2024
Pharmacy closed


Contacts


David E Hughes, COO/CFO
(916) 569-8484 Ext: 312



CVS Health
Christian J Reid, Sr. Director, 340B
(401) 770-2118
7/2/2021