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GARFIELD BEACH CVS, L.L.C.
URB12040 NATIVE AMERICAN HEALTH CENTER
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Covered Entity Details
Entity Name
NATIVE AMERICAN HEALTH CENTER
Subdivision Name
DBA NATIVE AMERICAN HEALTH CENTER
Type
Urban Indian
340B ID
URB12040
Entity Address
3124 INTERNATIONAL BLVD.
OAKLAND, CA 94601
Grant Number
Participating Start Date
12/1/1992
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
CVS PHARMACY # 16764
15555 E 14TH ST STE 400
SAN LEANDRO, CA 94578
Pharmacy Comments
Contract Details
Approval Date
1/14/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Greg C Garrett, Chief Operating Officer
(510) 485-5902
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/14/2022
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