340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
GARFIELD BEACH CVS, L.L.C.
DSH050438 HUNTINGTON HOSPITAL
Print
Covered Entity Details
Entity Name
HUNTINGTON HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH050438
Entity Address
100 W. California Blvd
Pasadena, CA 91105
Medicare Provider Number
050438
Participating Start Date
7/1/2019
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09716
5585 N ROSEMEAD BLVD
TEMPLE CITY, CA 91780
Pharmacy Comments
Contract Details
Approval Date
7/20/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/3/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Steven Mohr, Senior Vice President & Chief Financial Officer
(626) 397-5555
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/20/2021
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session