Contract Pharmacy Details

GARFIELD BEACH CVS, L.L.C.
CHC10608-00 CENTRAL CITY COMMUNITY HEALTH CENTER, INC

Covered Entity Details

Entity Name

CENTRAL CITY COMMUNITY HEALTH CENTER, INC

Subdivision Name

Central City Community Health Center, Inc. - Anaheim

Type

HRSA-Funded Health Center

340B ID

CHC10608-00

Entity Address

2237 W.Ball Road
Anaheim, CA 92804-5314

Grant Number

H80CS10608

Participating Start Date

7/1/2024

Last Recertification Date

2/27/2025

Pharmacy Details

Pharmacy Name

GARFIELD BEACH CVS, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 09583
102 NORTH MAIN STREET
SANTA ANA, CA 92701

Pharmacy Comments

Contract Details

Approval Date

7/13/2021

Contract Begin Date

10/1/2021

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2024
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Sommer R Kaskowitz, Chief Nursing Officer
(323) 724-0019 Ext: 1026

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

7/13/2021

340B Drug Pricing Program Database