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GARFIELD BEACH CVS, L.L.C.
CH0928870 CHINATOWN SERVICE CENTER
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Covered Entity Details
Entity Name
CHINATOWN SERVICE CENTER
Subdivision Name
CHINATOWN SERVICE CENTER - COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH0928870
Entity Address
767 N. Hill Street
Suite 200
Los Angeles, CA 90012-2343
Grant Number
H80CS08735
Participating Start Date
10/1/2004
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 08892
5822 SOUTH VERMONT AVENUE
LOS ANGELES, CA 90044
Pharmacy Comments
Contract Details
Approval Date
10/15/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Peter Ng, CEO
(213) 808-1701
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/15/2021
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