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GARFIELD BEACH CVS, L.L.C.
CHC08739-00 Aria Community Health Center
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Covered Entity Details
Entity Name
Aria Community Health Center
Subdivision Name
AVENAL COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CHC08739-00
Entity Address
1000 Skyline Blvd Ste A
Avenal, CA 93204-1850
Grant Number
H80CS08739
Participating Start Date
7/1/2009
Last Recertification Date
3/5/2025
Pharmacy Details
Pharmacy Name
GARFIELD BEACH CVS, L.L.C.
Pharmacy Address
CVS/PHARMACY # 11339
777 S. HARBOR BLVD., SUITE E-164
LA HABRA, CA 90631
Pharmacy Comments
Contract Details
Approval Date
4/8/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
John Blaine, CEO
(559) 386-4500 Ext: 1010
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/8/2022
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