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GARFIELD BEACH CVS, L.L.C.
CH098790 SANTA ROSA COMMUNITY HEALTH CENTERS
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Covered Entity Details
Entity Name
SANTA ROSA COMMUNITY HEALTH CENTERS
Subdivision Name
LOMBARDI CAMPUS
Type
HRSA-Funded Health Center
340B ID
CH098790
Entity Address
751 LOMBARDI COURT STE B
SANTA ROSA, CA 95407
Grant Number
H80CS00259
Participating Start Date
4/1/2003
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
CVS/PHARMACY #11346
101 W LAKE ST
MOUNT SHASTA, CA 96067-2225
Pharmacy Comments
Contract Details
Approval Date
10/11/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/16/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Naomi Fuchs, CEO
(707) 303-3600 Ext: 3111
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/11/2021
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