Contract Pharmacy Details

GARFIELD BEACH CVS, L.L.C.
CH09244C Clinic Inc, The

Covered Entity Details

Entity Name

Clinic Inc, The

Subdivision Name

T.H.E. Clinic at Hawthorne

Type

HRSA-Funded Health Center

340B ID

CH09244C

Entity Address

10321 HAWTHORNE BLVD
INGLEWOOD, CA 90304-1500

Grant Number

H80CS00755

Participating Start Date

4/1/2018

Last Recertification Date

2/20/2025

Pharmacy Details

Pharmacy Name

GARFIELD BEACH CVS, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 09588
15103 HAWTHORNE BOULEVARD
LAWNDALE, CA 90260

Pharmacy Comments

Contract Details

Approval Date

4/14/2022

Contract Begin Date

7/1/2022

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Clifford Shiepe, President and CEO
(323) 730-1920 Ext: 3053

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

4/14/2022

340B Drug Pricing Program Database